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1669117057
LOGAN SEBASTIAN CONGDON
GRAND RAPIDS, MI
NPI
1669117057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-05-01
Last Update Date
2022-05-01
Business Address
Mr. LOGAN SEBASTIAN CONGDON
1115 BALL AVE NE BLDG B
GRAND RAPIDS, MI 49505-5904
Phone number: 616-451-3001
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Mailing Address
Mr. LOGAN SEBASTIAN CONGDON
1059 SAN JUAN DR SE
EAST GRAND RAPIDS, MI 49506-3452
Phone number: 616-802-4890
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