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1902651201
STACY BACK
SPRINGFIELD, MO
NPI
1902651201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
STACY BACK
1721 W ELFINDALE ST STE B
SPRINGFIELD, MO 65807-1295
Phone number: 417-874-1906
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Mailing Address
STACY BACK
2864 S NETTLETON AVE
SPRINGFIELD, MO 65807-5970
Phone number: 417-874-1906
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