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1295500759
MELISSA LOGAN
PEORIA, IL
NPI
1295500759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
MELISSA LOGAN
4921 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676
Phone number: 844-263-1613
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Mailing Address
MELISSA LOGAN
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number:
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