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1245055763
LOGAN ALEXANDER SIEMERS
IRVINE, CA
NPI
1245055763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CA 306509)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
LOGAN ALEXANDER SIEMERS PT, DPT
17241 MURPHY AVE
IRVINE, CA 92614-5917
Phone number: 530-559-9246
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Mailing Address
LOGAN ALEXANDER SIEMERS PT, DPT
18428 OAK CANYON RD APT 574
CANYON COUNTRY, CA 91387-6358
Phone number:
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