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1467856864
LOGAN REX
MIAMI, FL
NPI
1467856864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4011)
Enumeration Date
2014-10-14
Last Update Date
2014-10-14
Business Address
-- LOGAN REX
604 NW 12TH AVE
MIAMI, FL 33136-3610
Phone number: 305-326-0003
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Mailing Address
-- LOGAN REX
604 NW 12TH AVE
MIAMI, FL 33136-3610
Phone number:
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