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1528641412
LOGAN GULL
ROSEBURG, OR
NPI
1528641412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: OR DP220035)
Enumeration Date
2021-04-29
Last Update Date
2024-08-12
Business Address
LOGAN GULL DPM
2300 NW STEWART PKWY
ROSEBURG, OR 97471-1597
Phone number: 541-680-4165
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Mailing Address
LOGAN GULL DPM
2300 NW STEWART PKWY
ROSEBURG, OR 97471-1597
Phone number: 208-589-6136
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