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1811378243
LOGAN MILLER
DES MOINES, IA
NPI
1811378243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-10352)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
LOGAN MILLER
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4211
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Mailing Address
LOGAN MILLER
840 E UNIVERSITY AVE
DES MOINES, IA 50316-2304
Phone number: 515-265-4211
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