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1477047140
LOGAN GUDDE
BOLINGBROOK, IL
NPI
1477047140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60861678)
Enumeration Date
2018-06-18
Last Update Date
2018-07-10
Business Address
LOGAN GUDDE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Phone number: 630-296-2223
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Mailing Address
LOGAN GUDDE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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