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1053063560
LOGAN RANDALL ECKLUND
DULUTH, MN
NPI
1053063560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 12519)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
LOGAN RANDALL ECKLUND PT, DPT
4609 GRAND AVE
DULUTH, MN 55807-2749
Phone number: 218-733-3485
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Mailing Address
LOGAN RANDALL ECKLUND PT, DPT
4142 MEADOW PKWY APT C
HERMANTOWN, MN 55811-6401
Phone number: 218-348-2523
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