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1457130775
RYAN LOGAN
ERIE, PA
NPI
1457130775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP028302)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
Mr. RYAN LOGAN APRN
1645 W 8TH ST
ERIE, PA 16505-5007
Phone number: 814-864-9994
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Mailing Address
Mr. RYAN LOGAN APRN
3536 HEREFORD RD
ERIE, PA 16510-2451
Phone number: 814-323-3299
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