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Individual
LOGAN SPEICHER
Active
Individual
LOGAN SPEICHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL4006
ATHLETIC TRAINING
FL
Enumeration date
06/21/2016
Last updated
06/21/2016
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