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1598185381
TYLER BACKLAS
COLORADO SPRINGS, CO
NPI
1598185381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO DR.0058951)
Enumeration Date
2014-04-21
Last Update Date
2024-06-05
Business Address
TYLER BACKLAS
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909-1179
Phone number: 719-776-4646
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Mailing Address
TYLER BACKLAS
PO BOX 800022
KANSAS CITY, MO 64180-0022
Phone number: 719-776-4646
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