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1376658088
SCOTT CAMERON LOGAN
COSTA MESA, CA
NPI
1376658088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY18216)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
SCOTT CAMERON LOGAN PH.D.
2900 BRISTOL ST SUITE A108
COSTA MESA, CA 92626-5981
Phone number: 949-275-6735
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Mailing Address
SCOTT CAMERON LOGAN PH.D.
2900 BRISTOL ST SUITE A108
COSTA MESA, CA 92626-5981
Phone number: 949-275-6735
Copy
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