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1578871836
JENNIFER JOY LOGAN
BEL AIRE, KS
NPI
1578871836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-00737)
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
Miss JENNIFER JOY LOGAN COTA
6700 E 45TH ST N
BEL AIRE, KS 67226-8817
Phone number: 316-744-4109
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Mailing Address
Miss JENNIFER JOY LOGAN COTA
159 LIOBA DR
ANDOVER, KS 67002-9764
Phone number: 316-259-0765
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