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1770294936
CARLTON JOSHUA LOGAN
PENSACOLA, FL
NPI
1770294936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL 6775)
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
CARLTON JOSHUA LOGAN ATC
2065 AIRPORT BLVD STE 300
PENSACOLA, FL 32504-5930
Phone number: 850-477-6966
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Mailing Address
CARLTON JOSHUA LOGAN ATC
1957 MARY JO WAY
PENSACOLA, FL 32534-9386
Phone number: 251-423-2408
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