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1457900219
DANA R LOGUE
MUSKEGON, MI
NPI
1457900219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009498)
Enumeration Date
2019-09-05
Last Update Date
2024-09-05
Business Address
DANA R LOGUE Physician Assistant
1500 E SHERMAN BLVD
MUSKEGON, MI 49444-1849
Phone number: 231-672-3883
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Mailing Address
DANA R LOGUE Physician Assistant
1560 E SHERMAN BLVD STE 240
MUSKEGON, MI 49444-1854
Phone number: 973-713-8539
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