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1407005275
QUANEEDRIA J LOGAN
SAINT LOUIS, MO
NPI
1407005275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2008028221)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
-- QUANEEDRIA J LOGAN D.D.S.
5701 DELMAR BLVD
SAINT LOUIS, MO 63112-2617
Phone number: 314-367-7848
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Mailing Address
-- QUANEEDRIA J LOGAN D.D.S.
5701 DELMAR BLVD
SAINT LOUIS, MO 63112-2617
Phone number: 314-367-7848
Copy
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