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1902514151
LOGAN STEVEN RUPNOW
WINONA, MN
NPI
1902514151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
LOGAN STEVEN RUPNOW
175 W MARK ST
WINONA, MN 55987-3384
Phone number: 507-457-5575
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Mailing Address
LOGAN STEVEN RUPNOW
2405 TUMBLEWEED AVE
WEST BEND, WI 53095-8554
Phone number: 262-305-4309
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