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1114531407
LOGAN HURST LOOMIS
LAKE ELSINORE, CA
NPI
1114531407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-09-03
Last Update Date
2022-11-21
Business Address
LOGAN HURST LOOMIS PA-C
31571 CANYON ESTATES DR STE 100
LAKE ELSINORE, CA 92532-0471
Phone number: 951-397-4214
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Mailing Address
LOGAN HURST LOOMIS PA-C
30539 WYNDHAM CT
MENIFEE, CA 92584-2701
Phone number: 951-837-5279
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