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1932802196
LOGAN LOOMIS
JBER, AK
NPI
1932802196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NE 2956)
Enumeration Date
2023-03-24
Last Update Date
2024-10-16
Business Address
LOGAN LOOMIS DO
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-551-2992
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Mailing Address
LOGAN LOOMIS DO
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number:
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