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1659856029
LOGAN MICHAEL GOWEN
EUGENE, OR
NPI
1659856029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 24470)
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
LOGAN MICHAEL GOWEN LMT
35 W 8TH AVE
EUGENE, OR 97401-2901
Phone number: 541-686-4461
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Mailing Address
LOGAN MICHAEL GOWEN LMT
35 W 8TH AVE
EUGENE, OR 97401-2901
Phone number: 541-686-4461
Copy
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