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1972970069
LOGAN PRINCE
TAYLORSVILLE, UT
NPI
1972970069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
-- LOGAN PRINCE
1760 W 4805 S
TAYLORSVILLE, UT 84129-1177
Phone number: 801-955-9110
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Mailing Address
-- LOGAN PRINCE
2765 E MELONY DR BSMT
SLC, UT 84124-3051
Phone number: 801-884-9035
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