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1326826157
LOGAN ALLEN PORTER
OAKLAND, CA
NPI
1326826157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
LOGAN ALLEN PORTER
8945 GOLF LINKS RD
OAKLAND, CA 94605-4124
Phone number: 510-317-1444
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Mailing Address
LOGAN ALLEN PORTER
8945 GOLF LINKS RD
OAKLAND, CA 94605-4124
Phone number: 510-317-1444
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