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1316467285
LOGAN MALLERY
GRAND RAPIDS, MI
NPI
1316467285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-22
Last Update Date
2021-12-29
Business Address
LOGAN MALLERY
4829 E BELTLINE AVE NE STE 310
GRAND RAPIDS, MI 49525-9350
Phone number: 616-279-6414
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Mailing Address
LOGAN MALLERY
4829 E BELTLINE AVE NE STE 310
GRAND RAPIDS, MI 49525-9350
Phone number:
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