SHAWN B BACKUS

GREEN BAY, WI
NPI1184064511
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  317165-31)
Enumeration Date2013-06-30
Last Update Date2013-06-30
Business Address
Mr. SHAWN B BACKUS LPN
2221 S WEBSTER AVE STE A160
GREEN BAY, WI 54301-2158
Phone number: 920-544-3747
Mailing Address
Mr. SHAWN B BACKUS LPN
2221 S WEBSTER AVE STE A160
GREEN BAY, WI 54301-2158
Phone number: 920-544-3747
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