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1710510862
AMANDA E BACKSTROM
BRIDGEWATER, MA
NPI
1710510862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
AMANDA E BACKSTROM
131 SUMMER ST
BRIDGEWATER, MA 02325-0001
Phone number: 774-285-3479
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Mailing Address
AMANDA E BACKSTROM
27 BIRCHWOOD DR
EAST TAUNTON, MA 02718-1501
Phone number: 774-285-3479
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