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1811348048
LOGAN WILLIAMS
ORLANDO, FL
NPI
1811348048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL TRN23579)
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
-- LOGAN WILLIAMS MD
86 W UNDERWOOD ST
ORLANDO, FL 32806-1110
Phone number: 407-649-6876
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Mailing Address
-- LOGAN WILLIAMS MD
86 W UNDERWOOD ST
ORLANDO, FL 32806-1110
Phone number: 407-649-6876
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