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1053986794
LOGAN GEORGE
AURORA, CO
NPI
1053986794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO TL.0009399)
Enumeration Date
2021-05-25
Last Update Date
2022-07-01
Business Address
LOGAN GEORGE MD
12631 E 17TH AVE STE 2001
AURORA, CO 80045-2527
Phone number: 303-724-1758
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Mailing Address
LOGAN GEORGE MD
12631 E 17TH AVE STE 2001
AURORA, CO 80045-2527
Phone number: 303-724-1758
Copy
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