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1609603927
LOGAN BAUSERMAN
RICHMOND, VA
NPI
1609603927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024191264)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
LOGAN BAUSERMAN PMHNP
1250 E MARSHALL ST
RICHMOND, VA 23298-5023
Phone number: 804-828-9000
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Mailing Address
LOGAN BAUSERMAN PMHNP
1250 E MARSHALL ST
RICHMOND, VA 23298-5023
Phone number:
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