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1710628706
LOGAN HUNGRIGE
DAVIS, CA
NPI
1710628706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-04-05
Last Update Date
2023-12-08
Business Address
LOGAN HUNGRIGE
1949 5TH ST STE 103
DAVIS, CA 95616-4026
Phone number: 530-753-2566
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Mailing Address
LOGAN HUNGRIGE
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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