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1427277185
ROBERT JAMES LOGAN
LOS ANGELES, CA
NPI
1427277185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- ROBERT JAMES LOGAN
4445 BURNS AVE
LOS ANGELES, CA 90029-2702
Phone number: 323-664-8969
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Mailing Address
-- ROBERT JAMES LOGAN
4426 HUDDART AVE
EL MONTE, CA 91731-1424
Phone number: 626-279-9542
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