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1174287262
LOGAN DAVIS
PLAINFIELD, IN
NPI
1174287262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
LOGAN DAVIS RBT
1599 TOWNSHIP LINE RD
PLAINFIELD, IN 46168-7517
Phone number: 317-914-3176
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Mailing Address
LOGAN DAVIS RBT
1599 TOWNSHIP LINE RD
PLAINFIELD, IN 46168-7517
Phone number: 317-914-3176
Copy
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