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1265146963
LOGAN PAUL MYRICK
BROOKHAVEN, GA
NPI
1265146963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
LOGAN PAUL MYRICK PT, DPT
3575 DURDEN DR NE # 304A
BROOKHAVEN, GA 30319-2253
Phone number: 404-469-9005
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Mailing Address
LOGAN PAUL MYRICK PT, DPT
9242 HUNTERBORO DR
BRENTWOOD, TN 37027-6128
Phone number:
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