DEBORAH ANNE LOGAN

FORT CAMPBELL, KY
NPI1477022069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: FL  DH12084)
Enumeration Date2018-11-13
Last Update Date2026-03-16
Business Address
DEBORAH ANNE LOGAN CRDH
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223-5429
Phone number: 270-412-6027
Mailing Address
DEBORAH ANNE LOGAN CRDH
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223-5429
Phone number: 270-412-6027