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1619487691
ZACHARY OGDEN LOGAN
BUFFALO, NY
NPI
1619487691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-04
Last Update Date
2017-10-04
Business Address
ZACHARY OGDEN LOGAN
1050 NIAGARA ST
BUFFALO, NY 14213-2007
Phone number: 716-884-0700
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Mailing Address
ZACHARY OGDEN LOGAN
1050 NIAGARA ST
BUFFALO, NY 14213-2007
Phone number: 716-884-0700
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