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1073147476
LOGAN WALDON
MOUNTAIN HOME, AR
NPI
1073147476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
LOGAN WALDON COTA/L
300 GOOD SAMARITAN DR
MOUNTAIN HOME, AR 72653-5813
Phone number: 870-425-2494
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Mailing Address
LOGAN WALDON COTA/L
300 GOOD SAMARITAN DR
MOUNTAIN HOME, AR 72653-5813
Phone number:
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