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1174099725
LOGAN WAIGHT
SAINT LOUIS, MO
NPI
1174099725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
LOGAN WAIGHT
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
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Mailing Address
LOGAN WAIGHT
1430 OLIVE ST STE 400
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
Copy
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