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1992568638
STACEY LOGSDON
ROSEBURG, OR
NPI
1992568638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
STACEY LOGSDON
283 SE FOWLER ST STE 2
ROSEBURG, OR 97470-3309
Phone number: 541-530-6750
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Mailing Address
STACEY LOGSDON
283 SE FOWLER ST STE 2
ROSEBURG, OR 97470-3309
Phone number: 541-530-6750
Copy
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