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1922403898
DAVID MICHAEL LOGAN
FPO, AP
NPI
1922403898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
Mr. DAVID MICHAEL LOGAN SFIDC
PSC 485 BOX 508
FPO, AP 96321-0006
Phone number: 01181906-464-3101
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Mailing Address
Mr. DAVID MICHAEL LOGAN SFIDC
PSC 485 BOX 508
FPO, AP 96321-0006
Phone number: 01181806-464-3101
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