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1538912175
LAMONT SCOTT LOGAN
ALLEN PARK, MI
NPI
1538912175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
LAMONT SCOTT LOGAN
14853 COLLEGE AVE
ALLEN PARK, MI 48101-3040
Phone number: 313-318-4055
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Mailing Address
LAMONT SCOTT LOGAN
14853 COLLEGE AVE
ALLEN PARK, MI 48101-3040
Phone number: 313-318-4055
Copy
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