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1932353729
ANGELA LOGEL
JACKSON, MO
NPI
1932353729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MO 003400)
Enumeration Date
2008-11-06
Last Update Date
2008-12-16
Business Address
-- ANGELA LOGEL
614 E ADAMS ST
JACKSON, MO 63755-2150
Phone number: 573-243-9501
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Mailing Address
-- ANGELA LOGEL
614 E ADAMS ST
JACKSON, MO 63755-2150
Phone number: 573-243-9501
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