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1235102252
AVIS ETTA LOGAN
BERKELEY, CA
NPI
1235102252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G73867)
Enumeration Date
2006-02-09
Last Update Date
2018-07-02
Business Address
AVIS ETTA LOGAN MD
3100 SAN PABLO AVE # 310
BERKELEY, CA 94702
Phone number: 510-985-5020
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Mailing Address
AVIS ETTA LOGAN MD
1450 TREAT BLVD # 300
WALNUT CREEK, CA 94597-2168
Phone number: 925-952-2888
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