LOGAN STODDARD

PORTER, TX
NPI1093457087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT9413)
Enumeration Date2022-04-10
Last Update Date2023-10-02
Business Address
LOGAN STODDARD
22625 SANDY LN
PORTER, TX 77365-5594
Phone number: 936-615-2038
Mailing Address
LOGAN STODDARD
22625 SANDY LN
PORTER, TX 77365-5594
Phone number: 936-615-2038
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