LOGAN JOHNSON

OMAHA, NE
NPI1801301205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  937)
Enumeration Date2017-12-06
Last Update Date2018-09-05
Business Address
LOGAN JOHNSON
8803 WEBSTER PLZ
OMAHA, NE 68114
Phone number: 308-325-5088
Mailing Address
LOGAN JOHNSON
8803 WEBSTER PLZ
OMAHA, NE 68114-2832
Phone number: 308-325-5088
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