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1366736456
LOGAN SMITH
EVANSTON, WY
NPI
1366736456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-06
Last Update Date
2011-06-06
Business Address
LOGAN SMITH
350 CITY VIEW DR STE 302
EVANSTON, WY 82930-5327
Phone number: 307-789-7915
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Mailing Address
LOGAN SMITH
350 CITY VIEW DR STE 302
EVANSTON, WY 82930-5327
Phone number: 307-789-7915
Copy
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