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1265047476
LOGAN BALLARD HARLEY
GASTONIA, NC
NPI
1265047476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013548)
Enumeration Date
2020-09-14
Last Update Date
2023-03-02
Business Address
LOGAN BALLARD HARLEY FNP
1381 E GARRISON BLVD
GASTONIA, NC 28054-5127
Phone number: 704-864-6006
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Mailing Address
LOGAN BALLARD HARLEY FNP
PO BOX 744786
ATLANTA, GA 30374-4786
Phone number: 704-913-0514
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