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Individual

MR. CARL V LOGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CONTRACTOR

Contact information

Practice address
3904 W TECHNOLOGY CIR, SIOUX FALLS, SD 57106-4235
(605) 271-5947
(605) 271-5997
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 271-5947
(605) 271-5997

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary

Other

Enumeration date
07/09/2018
Last updated
07/09/2018
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