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1770176976
SAMANTHA LOGAN
SAN BRUNO, CA
NPI
1770176976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
SAMANTHA LOGAN
901 SNEATH LN STE 105
SAN BRUNO, CA 94066-2415
Phone number: 408-706-6855
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Mailing Address
SAMANTHA LOGAN
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-550-6368
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