LOGAN BENEDICT

BOLIVAR, MO
NPI1508588088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2023035475)
Enumeration Date2022-09-13
Last Update Date2025-11-06
Business Address
Mr. LOGAN BENEDICT
1155 W PARKVIEW ST
BOLIVAR, MO 65613-7801
Phone number: 417-777-7763
Mailing Address
Mr. LOGAN BENEDICT
659 KAYS POINT RD
LAKE OZARK, MO 65049-4779
Phone number: 573-723-0521
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