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1457689366
RICKMON OLIVER LOGAN
GASTONIA, NC
NPI
1457689366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-02088)
Enumeration Date
2009-12-04
Last Update Date
2012-03-15
Business Address
-- RICKMON OLIVER LOGAN PA-C
2555 COURT DR SUITE 200
GASTONIA, NC 28054-2134
Phone number: 704-867-2141
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Mailing Address
-- RICKMON OLIVER LOGAN PA-C
2555 COURT DR SUITE 200
GASTONIA, NC 28054-2134
Phone number: 704-867-2141
Copy
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