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1780141333
PAUL R BACKLUND
LOS ANGELES, CA
NPI
1780141333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
PAUL R BACKLUND
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-821-3758
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Mailing Address
PAUL R BACKLUND
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-821-3758
Copy
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