JUSTIN WALTER LOGAN

ADRIAN, MI
NPI1962912659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001786)
Enumeration Date2017-10-07
Last Update Date2023-04-20
Business Address
JUSTIN WALTER LOGAN AT, ATC
1247 E SIENA HEIGHTS DR
ADRIAN, MI 49221-1755
Phone number: 517-264-7870
Mailing Address
JUSTIN WALTER LOGAN AT, ATC
834 NAVARRE ST
MONROE, MI 48161-1348
Phone number: 734-552-8862
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