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1639904980
LOGAN HOFFERT
GURNEE, IL
NPI
1639904980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160-009530)
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
LOGAN HOFFERT
350 S GREENLEAF ST STE 403
GURNEE, IL 60031-5709
Phone number: 847-596-7640
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Mailing Address
LOGAN HOFFERT
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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