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1306318175
LOGAN ALAN WILLIAMS
FORT WAYNE, IN
NPI
1306318175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28247885A)
Enumeration Date
2018-12-18
Last Update Date
2019-02-02
Business Address
LOGAN ALAN WILLIAMS CRNA
10315 DAWSONS CREEK BLVD STE B
FORT WAYNE, IN 46825
Phone number: 260-436-7875
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Mailing Address
LOGAN ALAN WILLIAMS CRNA
10315 DAWSONS CREEK BLVD STE B
FORT WAYNE, IN 46825-1912
Phone number: 260-436-7875
Copy
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