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1639921752
LOGAN WILLIAM BAILEY
ROSEVILLE, CA
NPI
1639921752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
LOGAN WILLIAM BAILEY
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661-3037
Phone number: 916-781-1647
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Mailing Address
LOGAN WILLIAM BAILEY
1870 OLLIVIER RD
MCKINLEYVILLE, CA 95519-9448
Phone number: 707-502-4957
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