TAMI LYNN BACKSTROM

DOUGLASVILLE, GA
NPI1902135205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: GA  MT005428)
Enumeration Date2009-12-15
Last Update Date2009-12-15
Business Address
Ms. TAMI LYNN BACKSTROM L.M.T
7193 DOUGLAS BLVD STE 103A
DOUGLASVILLE, GA 30135-1540
Phone number: 770-845-4407
Mailing Address
Ms. TAMI LYNN BACKSTROM L.M.T
7193 DOUGLAS BLVD STE 103A
DOUGLASVILLE, GA 30135-1540
Phone number: 770-845-4407
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