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1467637736
KIMBER JANINE LOGAN
COOKEVILLE, TN
NPI
1467637736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 1569)
Enumeration Date
2008-01-07
Last Update Date
2016-09-14
Business Address
Ms. KIMBER JANINE LOGAN PA
315 N WASHINGTON AVE SUITE 175
COOKEVILLE, TN 38501-2603
Phone number: 931-528-3300
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Mailing Address
Ms. KIMBER JANINE LOGAN PA
315 N WASHINGTON AVE SUITE 175
COOKEVILLE, TN 38501-2603
Phone number: 931-528-3300
Copy
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