LOGAN JAMES AUSTIN

PRINCETON, WV
NPI1720678600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-01-25
Last Update Date2021-01-25
Business Address
LOGAN JAMES AUSTIN
151 BLUERIDGE AVE
PRINCETON, WV 24740-4227
Phone number: 304-910-6182
Mailing Address
LOGAN JAMES AUSTIN
151 BLUERIDGE AVE
PRINCETON, WV 24740-4227
Phone number: 304-910-6182
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