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1447735436
LOGAN DEGE PEARL
ST JOHNSBURY, VT
NPI
1447735436
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Former Name
LOGAN PEARL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VT 101.0134212)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
LOGAN DEGE PEARL DNP
185 SHERMAN DR
ST JOHNSBURY, VT 05819-9811
Phone number: 802-748-5041
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Mailing Address
LOGAN DEGE PEARL DNP
165 SHERMAN DR
ST JOHNSBURY, VT 05819-9811
Phone number: 802-748-9405
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