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1558092924
LOGAN RENEE GRUBB
SPRINGFIELD, IL
NPI
1558092924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125080626)
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
LOGAN RENEE GRUBB MD
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
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Mailing Address
LOGAN RENEE GRUBB MD
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-545-8000
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