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1144661752
LOGAN DANIEL CUTTS
IDAHO FALLS, ID
NPI
1144661752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP1304A)
Enumeration Date
2013-07-11
Last Update Date
2021-02-25
Business Address
LOGAN DANIEL CUTTS FNP-C
3200 CHANNING WAY STE A205
IDAHO FALLS, ID 83404-7586
Phone number: 208-535-4580
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Mailing Address
LOGAN DANIEL CUTTS FNP-C
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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