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1932156528
KEVIN F LOGE
TERRE HAUTE, IN
NPI
1932156528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002537)
Enumeration Date
2006-05-28
Last Update Date
2012-08-01
Business Address
Dr. KEVIN F LOGE O.D.
114 W HONEY CREEK PKWY
TERRE HAUTE, IN 47802-4114
Phone number: 812-234-6500
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Mailing Address
Dr. KEVIN F LOGE O.D.
2195 DUTCH LN
TERRE HAUTE, IN 47802-2761
Phone number: 812-242-1599
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