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1649215476
BRADLEY L BACKHAUS
WILLMAR, MN
NPI
1649215476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2069)
Enumeration Date
2006-06-17
Last Update Date
2022-02-11
Business Address
DR. BRADLEY L BACKHAUS OD
2404 1ST ST S SUITE 1
WILLMAR, MN 56201-6300
Phone number: 320-235-1235
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Mailing Address
DR. BRADLEY L BACKHAUS OD
2404 1ST ST S SUITE 1
WILLMAR, MN 56201-6300
Phone number: 320-235-1235
Copy
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