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1871315853
LOGAN LARGE
SPRINGFIELD, MA
NPI
1871315853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
LOGAN LARGE
300 CAREW ST
SPRINGFIELD, MA 01104-2485
Phone number: 413-794-9816
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Mailing Address
LOGAN LARGE
300 CAREW ST
SPRINGFIELD, MA 01104-2485
Phone number: 413-794-9816
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