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1457819807
LOGAN HATLEY
CHARLESTON, SC
NPI
1457819807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC AT03092)
Enumeration Date
2019-03-05
Last Update Date
2021-08-25
Business Address
LOGAN HATLEY LAT, ATC, CPT
3 GRIER AVE
CHARLESTON, SC 29409-1004
Phone number: 843-953-6867
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Mailing Address
LOGAN HATLEY LAT, ATC, CPT
18525 ROLLINGDALE LN
DAVIDSON, NC 28036-7862
Phone number: 704-776-3781
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