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1770053035
LOGAN TATE
LAYTON, UT
NPI
1770053035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
LOGAN TATE
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
LOGAN TATE
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
Copy
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