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1063892438
LOGAN JON SULLIVAN
SCOTTSDALE, AZ
NPI
1063892438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 11583)
Enumeration Date
2015-06-01
Last Update Date
2015-06-02
Business Address
Dr. LOGAN JON SULLIVAN PT
10115 E BELL RD ST. 101 B
SCOTTSDALE, AZ 85260-2189
Phone number: 480-419-3500
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Mailing Address
Dr. LOGAN JON SULLIVAN PT
PO BOX 18607
FOUNTAIN HILLS, AZ 85269-8607
Phone number: 480-419-3500
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