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1306401864
LOGAN LEE COOK
WASILLA, AK
NPI
1306401864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
LOGAN LEE COOK Counselor Technician
2953 E FAIRVIEW LOOP
WASILLA, AK 99654
Phone number: 907-306-0041
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Mailing Address
LOGAN LEE COOK Counselor Technician
3600 SAN JERONIMO DR STE 210
ANCHORAGE, AK 99508-2870
Phone number: 907-793-3200
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