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1245811777
LOGAN MICHAEL SOILEAU
LAKE CHARLES, LA
NPI
1245811777
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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
2021-04-16
Last Update Date
2021-04-16
Business Address
LOGAN MICHAEL SOILEAU DO
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-2023
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Mailing Address
LOGAN MICHAEL SOILEAU DO
1500 LACADIE DR APT M
LAKE CHARLES, LA 70605-6680
Phone number: 337-884-4851
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