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1003579889
LOGAN BODE HOWARD
RENO, NV
NPI
1003579889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA2728)
Enumeration Date
2021-10-18
Last Update Date
2023-02-07
Business Address
LOGAN BODE HOWARD PA
10635 PROFESSIONAL CIR STE A
RENO, NV 89521-5836
Phone number: 775-852-0505
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Mailing Address
LOGAN BODE HOWARD PA
10635 PROFESSIONAL CIR STE A
RENO, NV 89521-5836
Phone number: 775-852-0505
Copy
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