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1518788546
LOGAN DERRY
KLAMATH FALLS, OR
NPI
1518788546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
LOGAN DERRY
725 WASHBURN WAY
KLAMATH FALLS, OR 97603-3648
Phone number: 541-883-1030
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Mailing Address
LOGAN DERRY
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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