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1831696996
LOGAN VAN VEEN
JOPLIN, MO
NPI
1831696996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2016039978)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
LOGAN VAN VEEN
3950 NEWMAN RD
JOPLIN, MO 64801-1512
Phone number: 866-818-6779
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Mailing Address
LOGAN VAN VEEN
3950 NEWMAN RD
JOPLIN, MO 64801-1512
Phone number:
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