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1235298019
ROBERT LOGAN
MODESTO, CA
NPI
1235298019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 20679)
Enumeration Date
2006-12-07
Last Update Date
2013-10-21
Business Address
ROBERT LOGAN D.C.
200 AUTO CENTER CT
MODESTO, CA 95356-1573
Phone number: 209-527-5433
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Mailing Address
ROBERT LOGAN D.C.
200 AUTO CENTER CT
MODESTO, CA 95356-1573
Phone number: 209-527-5433
Copy
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