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1285190637
LOGAN ELLIS WASHINGTON
BINGHAM FARMS, MI
NPI
1285190637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
LOGAN ELLIS WASHINGTON
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025-2454
Phone number: 248-712-4266
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Mailing Address
LOGAN ELLIS WASHINGTON
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025-2454
Phone number: 248-712-4266
Copy
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