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1528244134
JACQUELYN T LOGAN
WICHITA, KS
NPI
1528244134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KS 46150)
Enumeration Date
2008-01-14
Last Update Date
2022-12-29
Business Address
JACQUELYN T LOGAN APRN
3223 N WEBB RD SUITE 1
WICHITA, KS 67226-8175
Phone number: 316-609-2600
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Mailing Address
JACQUELYN T LOGAN APRN
3223 N WEBB RD SUITE 1
WICHITA, KS 67226-8175
Phone number: 316-609-2600
Copy
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