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1730521717
MOLLY C BACKSTROM
DULUTH, MN
NPI
1730521717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R 181668-8)
Enumeration Date
2013-07-19
Last Update Date
2013-10-15
Business Address
-- MOLLY C BACKSTROM NP
4621 E SUPERIOR ST ESSENTIA HEALTH LAKESIDE CLINIC
DULUTH, MN 55804-2338
Phone number: 218-786-3550
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Mailing Address
-- MOLLY C BACKSTROM NP
4621 E SUPERIOR ST ESSENTIA HEALTH LAKESIDE CLINIC
DULUTH, MN 55804-2338
Phone number: 218-786-3550
Copy
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