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1578987541
LOGAN FAYE ANDERSON
ADA, OK
NPI
1578987541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- LOGAN FAYE ANDERSON
7422 COUNTY ROAD 1480
ADA, OK 74820-0531
Phone number: 580-279-3376
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Mailing Address
-- LOGAN FAYE ANDERSON
7422 COUNTY ROAD 1480
ADA, OK 74820-0531
Phone number: 580-279-3376
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