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1407216534
KALEB MERCEDES LOGAN
TULSA, OK
NPI
1407216534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- KALEB MERCEDES LOGAN
1631 E 48TH PL N
TULSA, OK 74126-3423
Phone number: 918-637-7692
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Mailing Address
-- KALEB MERCEDES LOGAN
1631 E 48TH PL N
TULSA, OK 74126-3423
Phone number: 918-637-7692
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