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1376399402
LOGAN EGAN
LAYTON, UT
NPI
1376399402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
LOGAN EGAN
147 E 900 S
LAYTON, UT 84041-4151
Phone number: 801-634-7623
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Mailing Address
LOGAN EGAN
147 E 900 S
LAYTON, UT 84041-4151
Phone number:
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