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1457768699
STACY BACK
SOMERSET, KY
NPI
1457768699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: KY 1384)
Enumeration Date
2014-07-21
Last Update Date
2014-07-21
Business Address
-- STACY BACK MS,RD,LD
2441 S HIGHWAY 27
SOMERSET, KY 42501-2935
Phone number: 606-677-4068
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Mailing Address
-- STACY BACK MS,RD,LD
2441 S HIGHWAY 27
SOMERSET, KY 42501-2935
Phone number: 606-677-4068
Copy
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