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1457133977
LOGAN MAKAYLA DAVILA
NEWBERG, OR
NPI
1457133977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
LOGAN MAKAYLA DAVILA
448 N WERTH BLVD
NEWBERG, OR 97132-7500
Phone number: 503-554-2521
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Mailing Address
LOGAN MAKAYLA DAVILA
1460 BARBAROSSA PL
PAYETTE, ID 83661-2503
Phone number: 541-212-3842
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