MATTHEW LOGUE

BRANDON, MS
NPI1104275510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-06-07
Last Update Date2016-06-07
Business Address
-- MATTHEW LOGUE
2009 MOSSY COVE
BRANDON, MS 39042
Phone number: 601-519-7766
Mailing Address
-- MATTHEW LOGUE
2009 MOSSY CV
BRANDON, MS 39042-2091
Phone number: 601-519-7766
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