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1275152910
MOUNT LOGAN CLINIC LLC
LOGAN, UT
NPI
1275152910
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Entity Type
Organization
Authorized Contact
KYLE HANCOCK
Owner/Provider
435-750-6300
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-04-13
Last Update Date
2021-07-29
Business Address
MOUNT LOGAN CLINIC LLC
246 E 1260 N
LOGAN, UT 84341-7501
Phone number: 435-750-6300
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Mailing Address
MOUNT LOGAN CLINIC LLC
246 E 1260 N
LOGAN, UT 84341-7501
Phone number: 435-750-6300
Copy
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