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1043917016
STEVONICA J LOGAN
HUNTSVILLE, AL
NPI
1043917016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-176787)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
STEVONICA J LOGAN CRNP
400 WHITESPORT DR SW STE 103
HUNTSVILLE, AL 35801-6429
Phone number: 256-799-2509
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Mailing Address
STEVONICA J LOGAN CRNP
400 WHITESPORT DR SW STE 103
HUNTSVILLE, AL 35801-6429
Phone number: 256-799-2509
Copy
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