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1962724658
GAIL LOGAN
PHILADELPHIA, PA
NPI
1962724658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-02-22
Last Update Date
2010-02-22
Business Address
-- GAIL LOGAN MHS
112 N BROAD ST RM 821
PHILADELPHIA, PA 19102-1512
Phone number: 215-568-0860
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Mailing Address
-- GAIL LOGAN MHS
112 N BROAD ST RM 821
PHILADELPHIA, PA 19102-1512
Phone number: 215-568-0860
Copy
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