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1497319719
LOGAN PAUL GOULET
SPOKANE, WA
NPI
1497319719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60965539)
Enumeration Date
2019-04-23
Last Update Date
2019-06-03
Business Address
LOGAN PAUL GOULET DMD
3150 E 27TH AVE # 200
SPOKANE, WA 99223-4919
Phone number: 509-838-4141
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Mailing Address
LOGAN PAUL GOULET DMD
342 DIAMOND DR
NEWPORT, WA 99156-9340
Phone number: 509-671-2617
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