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1366121626
LOGAN P MARTIN
APO, AE
NPI
1366121626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2023-07-13
Last Update Date
2023-11-02
Business Address
LOGAN P MARTIN IDMT
UNIT 6180
APO, AE 09604
Phone number: 314-632-1775
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Mailing Address
LOGAN P MARTIN IDMT
PSC 103 BOX 4354
APO, AE 09603-0044
Phone number: 413-377-0150
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