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1801122239
MARY BARBARA BACKER
LA PORTE, IN
NPI
1801122239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01017394A)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
-- MARY BARBARA BACKER MD
301 WILLOW BEND DR
LA PORTE, IN 46350
Phone number: 219-362-3681
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Mailing Address
-- MARY BARBARA BACKER MD
301 WILLOW BEND DR
LA PORTE, IN 46350
Phone number: 219-362-3681
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