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1346095684
LOGAN GORAL
OSHKOSH, WI
NPI
1346095684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: 16327-24)
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
LOGAN GORAL DPT
600 N KOELLER ST
OSHKOSH, WI 54902-3241
Phone number: 920-799-4696
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Mailing Address
LOGAN GORAL DPT
2150 S MCCLELLAND ST APT 427
SALT LAKE CITY, UT 84106-6213
Phone number: 262-312-8359
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