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1205606159
GREGORY J LOGAN
BEND, OR
NPI
1205606159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-02
Last Update Date
2024-02-22
Business Address
GREGORY J LOGAN
296 SW COLUMBIA ST
BEND, OR 97702-1020
Phone number: 541-550-7940
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Mailing Address
GREGORY J LOGAN
2577 NE COURTNEY DR
BEND, OR 97701-7752
Phone number: 541-322-7500
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