LOGAN STEPHEN BANNON

SEATTLE, WA
NPI1003494618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2021-04-02
Last Update Date2021-04-02
Business Address
LOGAN STEPHEN BANNON
1107 NE 45TH ST STE 100
SEATTLE, WA 98105-4631
Phone number: 206-545-7844
Mailing Address
LOGAN STEPHEN BANNON
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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