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1811412315
LOGAN M NEIL
GRAND RAPIDS, MI
NPI
1811412315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018320)
Enumeration Date
2017-08-07
Last Update Date
2022-07-21
Business Address
LOGAN M NEIL DPT
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
LOGAN M NEIL DPT
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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