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1043096639
LOGAN KENNETH LARSEN
CEDAR CITY, UT
NPI
1043096639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
LOGAN KENNETH LARSEN
660 N AIRPORT RD
CEDAR CITY, UT 84721-8401
Phone number: 435-586-4078
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Mailing Address
LOGAN KENNETH LARSEN
1443 W 800 N STE 103
OREM, UT 84057-2878
Phone number: 801-655-4950
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