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1477601995
CORI LYN LOGAN
MODESTO, CA
NPI
1477601995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 694048)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Ms. CORI LYN LOGAN
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Phone number: 209-544-3236
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Mailing Address
Ms. CORI LYN LOGAN
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Phone number: 209-544-3236
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