DUSTIN ALLEN LOGUE

BAKER, LA
NPI1003146226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: LA  06078)
Enumeration Date2010-01-11
Last Update Date2024-10-10
Business Address
DUSTIN ALLEN LOGUE ANP
12902 PLANK RD
BAKER, LA 70714-4911
Phone number: 225-369-7006
Mailing Address
DUSTIN ALLEN LOGUE ANP
12902 PLANK RD
BAKER, LA 70714-4911
Phone number: 225-774-0733
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