MARY DIANE BACKSTROM

COLVILLE, WA
NPI1568444628
Former NameMARY DIANE THRESHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: WA  RN00130472)
Enumeration Date2005-11-15
Last Update Date2007-07-08
Business Address
-- MARY DIANE BACKSTROM RN
1200 E COLUMBIA AVE
COLVILLE, WA 99114-3354
Phone number: 509-684-3701
Mailing Address
-- MARY DIANE BACKSTROM RN
1200 E COLUMBIA AVE
COLVILLE, WA 99114-3354
Phone number: 509-684-3701
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