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1386865483
CHARLES MARK LOGAN
MEDFORD, OR
NPI
1386865483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 3440)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. CHARLES MARK LOGAN D.C.
1064 E JACKSON STREET
MEDFORD, OR 97504
Phone number: 541-776-4554
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Mailing Address
Dr. CHARLES MARK LOGAN D.C.
1064 E JACKSON STREET
MEDFORD, OR 97504
Phone number: 541-776-4554
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