Logan Jesperson
Logan Jesperson is a Student in an Organized Health Care Education/Training Program in Saint Cloud, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3541 17th Ave SSaint Cloud, MN 56301-9664
Phone: (320) 412-0695
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1225801459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2023 |
| Last updated in NPPES | October 31, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | 3541 17th Ave S, Saint Cloud, MN 56301-9664 |
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