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1235576810
MARY KATHRYN LOGAN
CHARLESTON, SC
NPI
1235576810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18275)
Enumeration Date
2013-05-23
Last Update Date
2019-02-28
Business Address
Mrs. MARY KATHRYN LOGAN FNP
316 CALHOUN ST
CHARLESTON, SC 29401-1113
Phone number: 843-720-5665
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Mailing Address
Mrs. MARY KATHRYN LOGAN FNP
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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