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1205277761
LOGAN WOLFE
WILLIAMSPORT, PA
NPI
1205277761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA059008)
Enumeration Date
2013-07-12
Last Update Date
2021-05-24
Business Address
LOGAN WOLFE
1705 WARREN AVE STE 101103 SUITE 101103
WILLIAMSPORT, PA 17701-2647
Phone number: 570-321-2020
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Mailing Address
LOGAN WOLFE
1201 GRAMPIAN BLVD SUITE 101103
WILLIAMSPORT, PA 17701-1900
Phone number:
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