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1750119327
LOGAN MACPHAIL
GRAND RAPIDS, MI
NPI
1750119327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MI 86378583)
Enumeration Date
2024-07-24
Last Update Date
2024-07-24
Business Address
LOGAN MACPHAIL RD
3337 NEWCASTLE DR SE
GRAND RAPIDS, MI 49508-2582
Phone number: 906-286-1649
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Mailing Address
LOGAN MACPHAIL RD
3337 NEWCASTLE DR SE
GRAND RAPIDS, MI 49508-2582
Phone number: 906-286-1649
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