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1609215573
LOGAN CLAY FREDERICKSON
BAKER CITY, OR
NPI
1609215573
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Former Name
LOGAN CLAY WILLIAMS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO176820)
Enumeration Date
2013-06-24
Last Update Date
2024-02-01
Business Address
LOGAN CLAY FREDERICKSON DO
3705 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-519-4250
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Mailing Address
LOGAN CLAY FREDERICKSON DO
3705 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-519-4250
Copy
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