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1851639777
MARION WILSON LOGAN
HONOLULU, HI
NPI
1851639777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
Mr. MARION WILSON LOGAN
615 PIIKOI ST STE 105
HONOLULU, HI 96814-3139
Phone number: 808-596-8433
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Mailing Address
Mr. MARION WILSON LOGAN
615 PIIKOI ST STE 105
HONOLULU, HI 96814-3139
Phone number: 808-596-8433
Copy
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