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1093038143
AUDREY LOGAN
CAPE GIRARDEAU, MO
NPI
1093038143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
-- AUDREY LOGAN
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
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Mailing Address
-- AUDREY LOGAN
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number:
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