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1538849153
LOGAN LUSTER
HENDERSONVILLE, TN
NPI
1538849153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
LOGAN LUSTER
111 IMPERIAL BLVD STE E
HENDERSONVILLE, TN 37075-3400
Phone number: 615-560-6622
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Mailing Address
LOGAN LUSTER
2308 RIVERCHASE BLVD
MADISON, TN 37115-2059
Phone number: 901-552-7916
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