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1013513522
SHAWNTEL LOGAN
VICTORVILLE, CA
NPI
1013513522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95016075)
Enumeration Date
2020-12-09
Last Update Date
2023-07-24
Business Address
Mrs. SHAWNTEL LOGAN NP
12760 HESPERIA RD STE C
VICTORVILLE, CA 92395-8305
Phone number: 760-338-0911
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Mailing Address
Mrs. SHAWNTEL LOGAN NP
12760 HESPERIA RD STE C
VICTORVILLE, CA 92395-8305
Phone number:
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