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1356072235
MIA LOGSDON
PHILADELPHIA, PA
NPI
1356072235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
-- MIA LOGSDON PA-C
800 SPRUCE ST
PHILADELPHIA, PA 19107-6192
Phone number: 215-316-5151
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Mailing Address
-- MIA LOGSDON PA-C
2116 ASHLEY RD
NEWTOWN, PA 18940-3735
Phone number: 215-901-3799
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