ALEXIS LOGAN

PEORIA, IL
NPI1295218378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085006727)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
ALEXIS LOGAN
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-671-8297
Mailing Address
ALEXIS LOGAN
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-671-8297
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