LOGAN BLACK

LINCOLN, NE
NPI1053293647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-07-23
Last Update Date2025-07-23
Business Address
LOGAN BLACK
8620 COVENANT CT
LINCOLN, NE 68526-6146
Phone number: 402-318-8363
Mailing Address
LOGAN BLACK
8620 COVENANT CT
LINCOLN, NE 68526-6146
Phone number:
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