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1770231474
DANTE LOGAN
LOS LUNAS, NM
NPI
1770231474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse Community Health
(Licence: NM RN-73242)
Enumeration Date
2022-03-13
Last Update Date
2022-03-13
Business Address
MR. DANTE LOGAN
1 CAMINO DEL SOL
LOS LUNAS, NM 87031-5706
Phone number: 505-610-1301
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Mailing Address
MR. DANTE LOGAN
1 CAMINO DEL SOL
LOS LUNAS, NM 87031-5706
Phone number: 505-610-1301
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