Individual
MRS. THERESA ZENS BACKOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5984
Mailing address
1735 S ROOSEVELT ST, ABERDEEN, SD 57401-7821
(605) 229-1585
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0040
SD
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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