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Individual

LOGAN H MANESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
804 OAKVIEW DR, DELTA, OH 43515-1083
(419) 902-8384
Mailing address
PO BOX 296, WAUSEON, OH 43567-0296
(419) 902-3843

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
01/25/2024
Last updated
01/25/2024
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