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1285374371
JERRYRAY LOGEMANN
TAMPA, FL
NPI
1285374371
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Former Name
JEROLD RAY LOGEMANN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
JERRYRAY LOGEMANN MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number: 813-974-2201
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Mailing Address
JERRYRAY LOGEMANN MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number:
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