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1710731591
LOGAN RUBIN
DETROIT, MI
NPI
1710731591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
LOGAN RUBIN DO
4160 JOHN R ST STE 1017
DETROIT, MI 48201-2017
Phone number: 313-745-4123
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Mailing Address
LOGAN RUBIN DO
5570 PEDRICK PLANTATION CIR
TALLAHASSEE, FL 32317-8203
Phone number: 505-974-0651
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