MELINDA SUE LOGAN

DECATUR, IL
NPI1265137814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.026952)
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
Mrs. MELINDA SUE LOGAN FNP
1110 ARBOR DR STE A
DECATUR, IL 62526-9289
Phone number: 217-413-8331
Mailing Address
Mrs. MELINDA SUE LOGAN FNP
1505 W MACON ST
DECATUR, IL 62522-2753
Phone number: 217-454-6267
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