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1518379007
ANDREW LOGAN
LOMA LINDA, CA
NPI
1518379007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A141755)
Enumeration Date
2014-06-02
Last Update Date
2018-04-03
Business Address
ANDREW LOGAN
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4074
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Mailing Address
ANDREW LOGAN
11234 ANDERSON ST GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354-2804
Phone number:
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