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1962193672
LOGAN JON MCSORLEY
GREENWOOD, IN
NPI
1962193672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
LOGAN JON MCSORLEY
1211 EAGLE CREST DR
GREENWOOD, IN 46143-8325
Phone number: 317-519-7823
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Mailing Address
LOGAN JON MCSORLEY
1211 EAGLE CREST DR
GREENWOOD, IN 46143-8325
Phone number: 317-519-7823
Copy
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