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1033947189
LOGAN NICHOLAS SUMMERS
CLARKSBURG, WV
NPI
1033947189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
LOGAN NICHOLAS SUMMERS
445 W MAIN ST STE 212D
CLARKSBURG, WV 26301-2843
Phone number: 304-842-0200
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Mailing Address
LOGAN NICHOLAS SUMMERS
445 W MAIN ST STE 212D
CLARKSBURG, WV 26301-2843
Phone number: 304-842-0200
Copy
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