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1023676954
CAROLYN LOGUE
MISHAWAKA, IN
NPI
1023676954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
CAROLYN LOGUE BS
1411 LINCOLNWAY W
MISHAWAKA, IN 46544-1626
Phone number: 574-533-1234
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Mailing Address
CAROLYN LOGUE BS
330 LAKEVIEW DR
GOSHEN, IN 46528-7000
Phone number: 574-533-1234
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