LOGAN P CORWIN

TULSA, OK
NPI1336984954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-06-26
Last Update Date2024-06-26
Business Address
LOGAN P CORWIN
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Mailing Address
LOGAN P CORWIN
528 W C ST
JENKS, OK 74037-2911
Phone number: 918-978-6089