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1710415641
LOGAN DECKER
FOSTER, KY
NPI
1710415641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-05-23
Last Update Date
2022-07-21
Business Address
LOGAN DECKER
274 JARA LN
FOSTER, KY 41043-8816
Phone number: 859-757-3317
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Mailing Address
LOGAN DECKER
274 JARA LN
FOSTER, KY 41043-8816
Phone number: 859-757-3317
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