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1730664772
THOMAS SHOGO BACKUS
VANCOUVER, WA
NPI
1730664772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60868304)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
THOMAS SHOGO BACKUS DDS
503 NW 84TH CIR
VANCOUVER, WA 98665-7720
Phone number: 360-771-8987
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Mailing Address
THOMAS SHOGO BACKUS DDS
503 NW 84TH CIR
VANCOUVER, WA 98665-7720
Phone number: 360-771-8987
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