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1770690810
JOHN C LOGAN
CASPER, WY
NPI
1770690810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WY 493)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Dr. JOHN C LOGAN dds
264 S WILSON ST
CASPER, WY 82601-2942
Phone number: 307-234-3259
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Mailing Address
Dr. JOHN C LOGAN dds
264 S WILSON ST
CASPER, WY 82601-2942
Phone number: 307-234-3259
Copy
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