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1962030189
RYAN WILLIAM LOGAN
MIAMI BEACH, FL
NPI
1962030189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9113132)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
RYAN WILLIAM LOGAN
1250 LINCOLN RD APT 504
MIAMI BEACH, FL 33139-2255
Phone number: 786-389-0977
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Mailing Address
RYAN WILLIAM LOGAN
1250 LINCOLN RD APT 504
MIAMI BEACH, FL 33139-2255
Phone number: 786-389-0977
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