BROOKE LEXENA LOGUE

GRANTS PASS, OR
NPI1598533366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA217205)
Enumeration Date2023-12-12
Last Update Date2024-02-06
Business Address
BROOKE LEXENA LOGUE
741 NE 6TH ST
GRANTS PASS, OR 97526-1556
Phone number: 541-471-2701
Mailing Address
BROOKE LEXENA LOGUE
2045 HAVILAND DR
GRANTS PASS, OR 97527-5116
Phone number:
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