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1124514120
HOLLY RAE LOGAN
BRUNSWICK, ME
NPI
1124514120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ME CNP181101)
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
MRS. HOLLY RAE LOGAN MSN, FNP-BC
121 MEDICAL CENTER DR STE 2600
BRUNSWICK, ME 04011-2668
Phone number: 207-721-8333
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Mailing Address
MRS. HOLLY RAE LOGAN MSN, FNP-BC
78 LOGAN RIDGE RD
CHELSEA, ME 04330-1288
Phone number: 207-557-1297
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