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1518498492
SAMUEL BACKUS
OAKLAND, CA
NPI
1518498492
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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
2017-03-23
Last Update Date
2021-12-17
Business Address
-- SAMUEL BACKUS
275 W MACARTHUR BLVD
OAKLAND, CA 94611-5641
Phone number: 253-970-1033
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Mailing Address
-- SAMUEL BACKUS
3003 N 28TH ST
TACOMA, WA 98407-6315
Phone number: 253-970-1033
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