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1205464039
SCOTT LOGAN RAY
INDIANAPOLIS, IN
NPI
1205464039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-28
Last Update Date
2021-07-09
Business Address
SCOTT LOGAN RAY DO
1130 W MICHIGAN ST # FH204
INDIANAPOLIS, IN 46202-5209
Phone number: 317-274-0076
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Mailing Address
SCOTT LOGAN RAY DO
550 S JACKSON ST FL STREET3
LOUISVILLE, KY 40202-1622
Phone number:
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