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1972978781
LOGAN E BERG
TUCSON, AZ
NPI
1972978781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 11949APTA)
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
-- LOGAN E BERG PTA
6606 E CARONDELET DR
TUCSON, AZ 85710-2119
Phone number: 520-296-8513
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Mailing Address
-- LOGAN E BERG PTA
6606 E CARONDELET DR
TUCSON, AZ 85710-2119
Phone number: 520-296-8513
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