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Individual
MR. LOGAN MENEAR
Active
Individual
MR. LOGAN MENEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006235
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000034930
BOC CERTIFICATION
—
01
—
AT006235
AT LICENSURE
OH
Enumeration date
11/10/2020
Last updated
11/10/2020
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