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1750034120
BRENT LOGAN
DUMFRIES, VA
NPI
1750034120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: VA BACB724383)
Enumeration Date
2022-01-27
Last Update Date
2022-01-27
Business Address
MR. BRENT LOGAN M.A, RBT
3322 WILLIAM JOHNSTON LN APT 32
DUMFRIES, VA 22026-2163
Phone number: 703-434-0879
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Mailing Address
MR. BRENT LOGAN M.A, RBT
3322 WILLIAM JOHNSTON LN APT 32
DUMFRIES, VA 22026-2163
Phone number: 703-434-0879
Copy
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