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1942341847
DIANE WADIAK BACKUS
BEND, OR
NPI
1942341847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1468)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. DIANE WADIAK BACKUS Ph.D.
1012 SW EMKAY DR
BEND, OR 97702-1010
Phone number: 541-617-0024
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Mailing Address
Dr. DIANE WADIAK BACKUS Ph.D.
1012 SW EMKAY DR
BEND, OR 97702-1010
Phone number: 541-617-0024
Copy
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