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1386415115
LOGAN DOUGLAS MOEWS
CHICAGO, IL
NPI
1386415115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
LOGAN DOUGLAS MOEWS
420 E SUPERIOR ST
CHICAGO, IL 60611-4494
Phone number: 312-503-8194
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Mailing Address
LOGAN DOUGLAS MOEWS
370 W 9TH AVE
COLUMBUS, OH 43210-1238
Phone number: 614-685-4411
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