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1932128436
JEFFERY A LOGAN
PORTLAND, ME
NPI
1932128436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: ME ac157)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Mr. JEFFERY A LOGAN lac,llc
222 AUBURN ST STE 103
PORTLAND, ME 04103-6004
Phone number: 207-780-8880
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Mailing Address
Mr. JEFFERY A LOGAN lac,llc
222 AUBURN ST STE 103
PORTLAND, ME 04103-6004
Phone number: 207-780-8880
Copy
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