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1538902481
LOGAN MCINTIRE
FOREST GROVE, OR
NPI
1538902481
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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
2024-06-18
Last Update Date
2024-06-18
Business Address
LOGAN MCINTIRE
2043 COLLEGE WAY
FOREST GROVE, OR 97116-1797
Phone number: 503-352-6151
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Mailing Address
LOGAN MCINTIRE
4302 E WILLAKENZIE ST
NEWBERG, OR 97132-3849
Phone number: 503-930-8312
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