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1750686218
SHAUN MICHAEL LOGAN
SEWELL, NJ
NPI
1750686218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01362900)
Enumeration Date
2011-01-14
Last Update Date
2015-08-30
Business Address
-- SHAUN MICHAEL LOGAN DPT
90 GOODWIN PKWY
SEWELL, NJ 08080-9446
Phone number: 856-889-6589
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Mailing Address
-- SHAUN MICHAEL LOGAN DPT
90 GOODWIN PKWY
SEWELL, NJ 08080-9446
Phone number: 856-889-6589
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