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1316785231
JASON LOGAN
ATHENS, AL
NPI
1316785231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 15630)
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
JASON LOGAN DPT
22454 US HIGHWAY 72 STE 210
ATHENS, AL 35613-2678
Phone number: 256-233-4486
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Mailing Address
JASON LOGAN DPT
204 LOWE AVENUE SUITE 210 - BLDG 3
HUNTSVILLE, AL 35801
Phone number:
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