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1215171368
AMY L LOGAN
SPRINGFIELD, MO
NPI
1215171368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 149749)
Enumeration Date
2009-04-20
Last Update Date
2013-03-01
Business Address
-- AMY L LOGAN FNP
3231 S NATIONAL AVE STE 140
SPRINGFIELD, MO 65807-7304
Phone number: 417-890-4132
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Mailing Address
-- AMY L LOGAN FNP
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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