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1275840548
STACY LOGSDON
BOWLING GREEN, KY
NPI
1275840548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 6563P)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
-- STACY LOGSDON
191 WEST PROFESSIONAL PARK COURT
BOWLING GREEN, KY 42104
Phone number: 270-782-7464
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Mailing Address
-- STACY LOGSDON
PO BOX 1078
BOWLING GREEN, KY 42102-1078
Phone number: 270-782-7464
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