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1174047146
LOGAN ANDREW WAGER
EVANSVILLE, IN
NPI
1174047146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
LOGAN ANDREW WAGER DPT
415 CROSSLAKE DR STE B
EVANSVILLE, IN 47715-8263
Phone number: 812-476-0409
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Mailing Address
LOGAN ANDREW WAGER DPT
PO BOX 5629
EVANSVILLE, IN 47716-5629
Phone number: 812-476-0409
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