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1518988765
BRUCE A. BACKUS
HARTFORD, CT
NPI
1518988765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CT 000-998)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
Dr. BRUCE A. BACKUS PhD
674 PROSPECT AVE
HARTFORD, CT 06105-4288
Phone number: 860-233-6228
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Mailing Address
Dr. BRUCE A. BACKUS PhD
95 PUNCH BROOK RD
BURLINGTON, CT 06013-1814
Phone number: 860-673-5949
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