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Individual
RYAN WILLIAM LOGAN
Active
Individual
RYAN WILLIAM LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113132
FL
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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