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1255799987
MATTHEW LOGAN
ONTARIO, OR
NPI
1255799987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC6041)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
MATTHEW LOGAN LPC
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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Mailing Address
MATTHEW LOGAN LPC
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Copy
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