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1760100671
LOGAN D TATE
OMAHA, NE
NPI
1760100671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4352)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
LOGAN D TATE PT
2725 S 144TH ST STE 212
OMAHA, NE 68144-5253
Phone number: 402-637-0800
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Mailing Address
LOGAN D TATE PT
2725 S 144TH ST STE 212
OMAHA, NE 68144-5253
Phone number: 402-637-0800
Copy
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