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1053874222
ASHLEY CORINNE LOGAN
LA CROSSE, WI
NPI
1053874222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WI 75492-21)
Enumeration Date
2019-04-12
Last Update Date
2024-01-03
Business Address
ASHLEY CORINNE LOGAN D.O.
700 WEST AVENUE S
LA CROSSE, WI 54601-8806
Phone number: 608-785-0940
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Mailing Address
ASHLEY CORINNE LOGAN D.O.
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940
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