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1699127977
JEORGE L LOGAN
DAYTON, OH
NPI
1699127977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDC.151219-3)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
-- JEORGE L LOGAN LCDCIIII
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
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Mailing Address
-- JEORGE L LOGAN LCDCIIII
601 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3424
Phone number: 937-734-8333
Copy
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