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1013350032
LOGAN FREDRIK HANSON
DAVENPORT, FL
NPI
1013350032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: FL OS19241)
Enumeration Date
2013-04-09
Last Update Date
2022-10-10
Business Address
DR. LOGAN FREDRIK HANSON D.O
410 LIONEL WAY FL 3
DAVENPORT, FL 33837-7809
Phone number: 863-293-1191
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Mailing Address
DR. LOGAN FREDRIK HANSON D.O
500 E CENTRAL AVE
WINTER HAVEN, FL 33880-3094
Phone number: 863-293-1191
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