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1548425887
DORIAN FAYE LOGAN
LAWRENCE, KS
NPI
1548425887
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Former Name
DORIAN FAYE AMEND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-03844)
Enumeration Date
2008-07-25
Last Update Date
2019-07-02
Business Address
DORIAN FAYE LOGAN PT, DPT
2108 W 27TH ST STE K
LAWRENCE, KS 66047-3168
Phone number: 785-856-0173
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Mailing Address
DORIAN FAYE LOGAN PT, DPT
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number: 423-238-7217
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