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Individual

DAWN LYNETTE BACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLVT

Contact information

Practice address
2900 W 11TH ST, SUITE 101, SIOUX FALLS, SD 57104-2589
(605) 367-5260
Mailing address
2900 W 11TH ST, SUITE 101, SIOUX FALLS, SD 57104-2589
(605) 367-5260

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4490
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174785992
SD
Enumeration date
07/18/2008
Last updated
07/18/2008
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