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1609655810
LOGAN REID TRUDELL
SANTA ROSA, CA
NPI
1609655810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: CA 95131684)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
LOGAN REID TRUDELL RN, BSN
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-525-5300
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Mailing Address
LOGAN REID TRUDELL RN, BSN
120 W SOLOMON ST # 1105
GRIFFIN, GA 30223-3045
Phone number:
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