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1568900769
LOGAN ELLIS
BOISE, ID
NPI
1568900769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-641)
Enumeration Date
2017-02-08
Last Update Date
2018-03-17
Business Address
LOGAN ELLIS
703 S AMERICANA BLVD STE 120
BOISE, ID 83702-6754
Phone number: 208-489-5543
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Mailing Address
LOGAN ELLIS
9630 W LEO CT
BOISE, ID 83709-8250
Phone number:
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