CAROL LOGAN

ALTON, IL
NPI1417318197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2016-03-09
Last Update Date2016-03-09
Business Address
-- CAROL LOGAN
603 W DELMAR AVE
ALTON, IL 62002-4277
Phone number: 618-467-0640
Mailing Address
-- CAROL LOGAN
603 W DELMAR AVE
ALTON, IL 62002-4277
Phone number: 618-467-0640
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