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1053382218
ELIZABETH LOGAN
TULSA, OK
NPI
1053382218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 24070)
Enumeration Date
2006-01-27
Last Update Date
2007-07-08
Business Address
-- ELIZABETH LOGAN
7600 S LEWIS AVE
TULSA, OK 74136-6836
Phone number: 918-493-7800
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Mailing Address
-- ELIZABETH LOGAN
7600 S LEWIS AVE
TULSA, OK 74136-6836
Phone number: 918-493-7800
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