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1154196798
NIA LOGAN MA
WINSTON SALEM, NC
NPI
1154196798
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Former Name
NIA LOGAN BOURNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: MD R227892)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
Mrs. NIA LOGAN MA RN
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27101
Phone number: 336-716-9253
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Mailing Address
Mrs. NIA LOGAN MA RN
530 N PATTERSON AVE UNIT 609
WINSTON SALEM, NC 27101-4289
Phone number: 443-820-5662
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