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Individual

LOGAN RILEY BARNEWOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1475 RAIDERS WAY, HENDERSON, NV 89052-4604
(702) 686-5791
Mailing address
544 TRINIDAD POINT CT, HENDERSON, NV 89044-1063
(702) 686-5791

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/02/2025
Last updated
05/02/2025
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