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Individual

GUERLY BACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
190 ENGLAND ST, PICKERINGTON, OH 43147-2249
(614) 579-7308
Mailing address
190 ENGLAND ST, PICKERINGTON, OH 43147-2249
(614) 579-7308

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140252
OH

Other

Enumeration date
05/29/2012
Last updated
05/29/2012
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