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1497141527
LOGAN JOHNSON
HENDERSON, NV
NPI
1497141527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA0313)
Enumeration Date
2015-04-15
Last Update Date
2019-02-12
Business Address
LOGAN JOHNSON PA-C
10652 S EASTERN AVE SUITE A
HENDERSON, NV 89052-4952
Phone number: 702-476-2800
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Mailing Address
LOGAN JOHNSON PA-C
PO BOX 743752
ATLANTA, GA 30374-3752
Phone number:
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