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1255786042
LOGAN JEFFREY CRANDALL
SAN DIEGO, CA
NPI
1255786042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA Y3216761)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
-- LOGAN JEFFREY CRANDALL
2535 KETTNER BLVD SUITE 1A4
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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Mailing Address
-- LOGAN JEFFREY CRANDALL
2535 KETTNER BLVD SUITE 1A4
SAN DIEGO, CA 92101-1250
Phone number:
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