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1235500760
LOGAN CARLSON
MANKATO, MN
NPI
1235500760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- LOGAN CARLSON
1431 PREMIER DR
MANKATO, MN 56001-6076
Phone number: 507-386-6600
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Mailing Address
-- LOGAN CARLSON
1431 PREMIER DR
MANKATO, MN 56001-6076
Phone number:
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