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1407982788
IRA TEDTNCE LOGAN
LITTLE ROCK, AR
NPI
1407982788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R45188)
Enumeration Date
2007-02-23
Last Update Date
2014-02-27
Business Address
Ms. IRA TEDTNCE LOGAN RN
6501 WEST 12TH STREET
LITTLE ROCK, AR 72204-4546
Phone number: 501-666-8686
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Mailing Address
Ms. IRA TEDTNCE LOGAN RN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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