LOGAN WADDELL

JONESBORO, AR
NPI1063848059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L054172)
Enumeration Date2013-09-23
Last Update Date2013-09-23
Business Address
-- LOGAN WADDELL LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Mailing Address
-- LOGAN WADDELL LPN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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