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1891052023
SALLY LOGAN
ROSEBURG, OR
NPI
1891052023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-04-12
Last Update Date
2013-02-04
Business Address
-- SALLY LOGAN QMHA
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-671-0619
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Mailing Address
-- SALLY LOGAN QMHA
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-671-0619
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