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1164956652
LOGAN ANDREW KONTY
FORT WORTH, TX
NPI
1164956652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
-- LOGAN ANDREW KONTY D.O.
900 8TH AVE
FORT WORTH, TX 76104-3902
Phone number: 817-877-5292
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Mailing Address
-- LOGAN ANDREW KONTY D.O.
900 8TH AVE
FORT WORTH, TX 76104-3902
Phone number: 817-877-5292
Copy
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