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1407530397
JAMES LOGAN
EUPORA, MS
NPI
1407530397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
JAMES LOGAN
1660 VETERANS MEMORIAL BLVD
EUPORA, MS 39744-2048
Phone number: 662-258-8147
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Mailing Address
JAMES LOGAN
302 N JACKSON ST
STARKVILLE, MS 39759-2504
Phone number:
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