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1508626797
JOHANNA BACK
ORANGE, CA
NPI
1508626797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-22
Last Update Date
2024-06-21
Business Address
JOHANNA BACK MD
200 S MANCHESTER AVE STE 835
ORANGE, CA 92868-3213
Phone number: 714-480-2440
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Mailing Address
JOHANNA BACK MD
200 S MANCHESTER AVE STE 835
ORANGE, CA 92868-3213
Phone number: 714-480-2440
Copy
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