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1053184002
LOGAN THORNSBERRY
FARMINGTON HILLS, MI
NPI
1053184002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703129030)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
LOGAN THORNSBERRY
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 833-476-5837
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Mailing Address
LOGAN THORNSBERRY
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number:
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