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1407550783
LOGAN DAVID WILLIS
OKLAHOMA CITY, OK
NPI
1407550783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
LOGAN DAVID WILLIS
13905 TECHNOLOGY DR
OKLAHOMA CITY, OK 73134-1054
Phone number: 405-389-4530
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Mailing Address
LOGAN DAVID WILLIS
6501 NE 103RD ST
OKLAHOMA CITY, OK 73151-9411
Phone number:
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