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1467153080
LOGAN WEST
BALTIMORE, MD
NPI
1467153080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: MD R246267)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
LOGAN WEST
250 W PRATT ST
BALTIMORE, MD 21201-2423
Phone number: 667-214-1212
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Mailing Address
LOGAN WEST
3 ADMIRAL RD
SEVERNA PARK, MD 21146-3701
Phone number: 443-758-4743
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