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1528698404
JOSHUA LOGAN MCDANIEL
FORT CAMPBELL, KY
NPI
1528698404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
JOSHUA LOGAN MCDANIEL
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 561-236-3237
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Mailing Address
JOSHUA LOGAN MCDANIEL
3611 FOX TAIL DR
CLARKSVILLE, TN 37040-6247
Phone number: 561-236-3237
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