LOGAN SCOTT HOLLAND

MARION, IL
NPI1528542636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043126114)
Enumeration Date2018-09-24
Last Update Date2018-09-24
Business Address
LOGAN SCOTT HOLLAND
11531 SUNDERLAND RD
MARION, IL 62959-8274
Phone number: 618-964-5139
Mailing Address
LOGAN SCOTT HOLLAND
1118 MONROE AVE
JOHNSTON CITY, IL 62951-1565
Phone number: 618-364-5784
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