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1528082096
RICHARD D BACK
FAYETTEVILLE, AR
NPI
1528082096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: AR 78-18 P)
Enumeration Date
2006-07-27
Last Update Date
2008-05-14
Business Address
DR. RICHARD D BACK PH.D
1706 E JOYCE BLVD SUITE 3
FAYETTEVILLE, AR 72703-5238
Phone number: 479-442-9381
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Mailing Address
DR. RICHARD D BACK PH.D
1706 E JOYCE BLVD SUITE 3
FAYETTEVILLE, AR 72703-5238
Phone number: 479-442-9381
Copy
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