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1316697071
LOGAN ALLEN CHESHIRE
BRIDGEPORT, WV
NPI
1316697071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 000)
Enumeration Date
2022-03-25
Last Update Date
2022-04-05
Business Address
Dr. LOGAN ALLEN CHESHIRE DO
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
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Mailing Address
Dr. LOGAN ALLEN CHESHIRE DO
339 S MIMOSA LN APT 1
BRIDGEPORT, WV 26330-1998
Phone number: 301-268-2392
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