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1629893102
LOGAN MOORE
FORT SMITH, AR
NPI
1629893102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
LOGAN MOORE
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
LOGAN MOORE
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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