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1124772272
LOGAN ADAM FORGEY
TAMPA, FL
NPI
1124772272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL RN9424548)
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
LOGAN ADAM FORGEY
4202 E FOWLER AVE
TAMPA, FL 33620-8000
Phone number: 813-974-2011
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Mailing Address
LOGAN ADAM FORGEY
70 DAVIS BLVD APT 2
TAMPA, FL 33606-3418
Phone number: 352-727-9087
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