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1306183090
MALLORY ANNE LOGSDON
LAKE WORTH, FL
NPI
1306183090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106949)
Enumeration Date
2013-01-15
Last Update Date
2014-01-27
Business Address
MALLORY ANNE LOGSDON PA-C
5507 S CONGRESS AVE SUITE 140
LAKE WORTH, FL 33462-1139
Phone number: 561-965-6685
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Mailing Address
MALLORY ANNE LOGSDON PA-C
5507 S CONGRESS AVE SUITE 140
LAKE WORTH, FL 33462-1139
Phone number: 561-965-6685
Copy
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