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1215177886
WILLIAM LOGAN
ORCHARD PARK, NY
NPI
1215177886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
-- WILLIAM LOGAN
3690 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127-1720
Phone number: 716-662-4955
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Mailing Address
-- WILLIAM LOGAN
PO BOX 428
ORCHARD PARK, NY 14127-0428
Phone number: 716-662-4955
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