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1376725697
GINA LOGAN
HUMBLE, TX
NPI
1376725697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02030)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
-- GINA LOGAN PAC
7440 FM 1960 RD E
HUMBLE, TX 77346-3129
Phone number: 866-325-3227
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Mailing Address
-- GINA LOGAN PAC
161 WASHINGTON ST EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 19428-2083
Phone number: 866-825-3227
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