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1447948401
LOGAN JONATHAN POWELL
LAWRENCE, KS
NPI
1447948401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 14-04021)
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
LOGAN JONATHAN POWELL PTA
1311 WAKARUSA DRIVE, LAWRENCE KS SUITE 1000 SUITE 1000
LAWRENCE, KS 66049-6604
Phone number: 785-749-1300
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Mailing Address
LOGAN JONATHAN POWELL PTA
1311 WAKARUSA DRIVE, LAWRENCE KS SUITE 1000
LAWRENCE, KS 66049
Phone number: 785-749-1300
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