JESSICA ANNE LOGAN

EMMETT, ID
NPI1124492863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-11-18
Last Update Date2015-11-18
Business Address
-- JESSICA ANNE LOGAN
1522 MICHAEL ST
EMMETT, ID 83617-9442
Phone number: 208-901-2891
Mailing Address
-- JESSICA ANNE LOGAN
1522 MICHAEL ST
EMMETT, ID 83617-9442
Phone number: 208-901-2891
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