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1407584501
FAITH LOGA
PHOENIX, AZ
NPI
1407584501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 10053)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-08-08
Last Update Date
2024-07-05
Business Address
FAITH LOGA PA-C
635 E BASELINE RD
PHOENIX, AZ 85042-6583
Phone number: 602-323-3344
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Mailing Address
FAITH LOGA PA-C
3003 N CENTRAL AVE STE 1600
PHOENIX, AZ 85012-2908
Phone number: 602-323-3344
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