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1740440486
AMANDA LEANNE LOGAN
ARLINGTON, TX
NPI
1740440486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: KS 633320)
Enumeration Date
2008-06-16
Last Update Date
2008-06-16
Business Address
-- AMANDA LEANNE LOGAN
811 INTERSTATE 20 W #114
ARLINGTON, TX 76017-5870
Phone number: 817-784-8268
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Mailing Address
-- AMANDA LEANNE LOGAN
PO BOX 120549
ARLINGTON, TX 76012-0549
Phone number: 817-303-4521
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