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1962774356
LOGAN A LATIMER
HURLBURT FIELD, FL
NPI
1962774356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2012-02-01
Last Update Date
2024-01-05
Business Address
LOGAN A LATIMER IDMT
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-884-7731
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Mailing Address
LOGAN A LATIMER IDMT
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number:
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