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1417309824
RICKEY LOGAN
NEW YORK, NY
NPI
1417309824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: NY 382652)
Enumeration Date
2016-07-08
Last Update Date
2016-07-08
Business Address
Mr. RICKEY LOGAN PNP
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 513-706-8109
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Mailing Address
Mr. RICKEY LOGAN PNP
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number:
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