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1720722473
JEFFREY CAMERON BACKOFEN
SHAW AFB, SC
NPI
1720722473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: SC 90973)
Enumeration Date
2022-04-27
Last Update Date
2023-11-03
Business Address
Dr. JEFFREY CAMERON BACKOFEN DO
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number: 803-895-6191
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Mailing Address
Dr. JEFFREY CAMERON BACKOFEN DO
1300 BLUE JOHNSON RD
HOPKINS, SC 29061-9073
Phone number: 909-418-4720
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