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1174649826
TRACY L LOGAN
PARMA, OH
NPI
1174649826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN 115279)
Enumeration Date
2007-03-22
Last Update Date
2008-04-09
Business Address
-- TRACY L LOGAN LPN
11090 SCHWAB DR
PARMA, OH 44130-5949
Phone number: 440-888-2911
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Mailing Address
-- TRACY L LOGAN LPN
295 PRESERVE LN
MACEDONIA, OH 44056-1792
Phone number: 330-468-8592
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