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1083634133
BECKY M. LOGAN
THIBODAUX, LA
NPI
1083634133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- BECKY M. LOGAN Surgical Tech
1101 AUDUBON AVE STE S-4
THIBODAUX, LA 70301-4957
Phone number: 985-447-7246
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Mailing Address
-- BECKY M. LOGAN Surgical Tech
203 ORMOND VILLAGE DR
DESTREHAN, LA 70047-3717
Phone number: 985-764-6952
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