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1679184295
LOGAN SHELTON
FORT SMITH, AR
NPI
1679184295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 5888)
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
LOGAN SHELTON DPT
5905 REMINGTON CIR
FORT SMITH, AR 72903-6523
Phone number: 479-452-7773
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Mailing Address
LOGAN SHELTON DPT
PO BOX 11122
FORT SMITH, AR 72917-1122
Phone number: 479-452-7773
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