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1184020620
MICHAEL ANTHONY LOGAN
CULVER CITY, CA
NPI
1184020620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-11-11
Last Update Date
2022-11-28
Business Address
MICHAEL ANTHONY LOGAN
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3550
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Mailing Address
MICHAEL ANTHONY LOGAN
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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