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1235865171
AMBER LEE LOGAN
SHIPROCK, NM
NPI
1235865171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM PT6105)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
AMBER LEE LOGAN DPT
US-491
SHIPROCK, NM 87420
Phone number: 505-368-6001
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Mailing Address
AMBER LEE LOGAN DPT
10 PRIMROSE LN
LOS ALAMOS, NM 87544-1588
Phone number: 505-412-8617
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