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1386390078
LOGAN BIRCH
SALT LAKE CITY, UT
NPI
1386390078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-22
Last Update Date
2022-09-09
Business Address
LOGAN BIRCH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
LOGAN BIRCH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Copy
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