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Individual

MS. SUSAN G BACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MSN

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-3528
(206) 764-2919
Mailing address
2420-54TH PL. SW, #31, SEATTLE, WA 98116
(206) 277-3528
(206) 764-2919

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00050939
WA

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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