RANDALL LOGAN

GREAT FALLS, MT
NPI1801203039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR  10157554)
Enumeration Date2014-07-21
Last Update Date2024-04-03
Business Address
RANDALL LOGAN
228 17TH AVE NW
GREAT FALLS, MT 59404-1807
Phone number: 406-454-6973
Mailing Address
RANDALL LOGAN
601 1ST AVE N
GREAT FALLS, MT 59401-2510
Phone number: 406-454-6973
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