LOGAN BLAIR

SPRINGFIELD, OH
NPI1780133025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT004862)
Enumeration Date2016-09-28
Last Update Date2016-09-28
Business Address
-- LOGAN BLAIR ATC
140 W MAIN ST
SPRINGFIELD, OH 45502-1368
Phone number: 317-468-5505
Mailing Address
-- LOGAN BLAIR ATC
140 W MAIN ST
SPRINGFIELD, OH 45502-1368
Phone number:
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