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1265208847
LOGAN LUDLUM
DUBUQUE, IA
NPI
1265208847
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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
2023-11-27
Last Update Date
2023-11-27
Business Address
LOGAN LUDLUM
1450 ALTA VISTA ST
DUBUQUE, IA 52001-4327
Phone number: 608-331-0094
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Mailing Address
LOGAN LUDLUM
472 MITCHELL HOLLOW RD
PLATTEVILLE, WI 53818-9340
Phone number: 608-331-0094
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