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Individual

EMMA M BACKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
32006 NORTHWOOD LN, SAINT CLOUD, MN 56303-9517
(320) 309-8913
Mailing address
32006 NORTHWOOD LN, SAINT CLOUD, MN 56303-9517
(320) 309-8913

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4543
MN
133V00000X
Registered Dietitian
Primary
86153210
MN

Other

Enumeration date
08/31/2020
Last updated
09/01/2021
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