LOGAN BAKE

ONTARIO, OR
NPI1407265838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist Orthopedic
(Licence: ID  PT-3687)
Enumeration Date2014-08-11
Last Update Date2019-05-22
Business Address
LOGAN BAKE
1050 SW 3RD AVE
ONTARIO, OR 97914-2193
Phone number: 541-881-7330
Mailing Address
LOGAN BAKE
275 E 7TH ST
WEISER, ID 83672-2303
Phone number: 208-549-1008
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