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1326786187
LOGAN CHANDLER BLAKE
MOBILE, AL
NPI
1326786187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH10812)
Enumeration Date
2022-05-23
Last Update Date
2024-07-29
Business Address
LOGAN CHANDLER BLAKE PT, DPT
108 S FLORIDA ST
MOBILE, AL 36606-1927
Phone number: 251-501-2700
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Mailing Address
LOGAN CHANDLER BLAKE PT, DPT
108 S FLORIDA ST
MOBILE, AL 36606-1927
Phone number: 251-501-2700
Copy
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