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1508588088
LOGAN BENEDICT
KIRKSVILLE, MO
NPI
1508588088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
MR. LOGAN BENEDICT
100 E NORMAL AVE
KIRKSVILLE, MO 63501-4221
Phone number: 573-723-0521
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Mailing Address
MR. LOGAN BENEDICT
659 KAYS POINT RD
LAKE OZARK, MO 65049-4779
Phone number: 573-723-0521
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