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1396368403
EBONY LOGAN
MUNCIE, IN
NPI
1396368403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
EBONY LOGAN
3700 W KILGORE AVE
MUNCIE, IN 47304-4810
Phone number: 765-289-5437
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Mailing Address
EBONY LOGAN
3701 SHELBY ST APT 423
INDIANAPOLIS, IN 46227-3413
Phone number: 540-293-0690
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