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1215782529
GRANT BACKER
FARMINGTON, CT
NPI
1215782529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
Dr. GRANT BACKER MD
263 FARMINGTON AVE CLINIC-MC8021 OUTPATIENT PAVILION 2 EAST
FARMINGTON, CT 06030-8021
Phone number: 860-679-4477
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Mailing Address
Dr. GRANT BACKER MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2147
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