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1639620768
JENNIFER L LOGAN
SANTA ROSA, CA
NPI
1639620768
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Former Name
JENNIFER L HRUBY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2016-10-24
Last Update Date
2018-11-01
Business Address
JENNIFER L LOGAN RD, CDE
1701 4TH ST STE 210
SANTA ROSA, CA 95404-3661
Phone number: 707-578-7530
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Mailing Address
JENNIFER L LOGAN RD, CDE
3536 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403-3634
Phone number: 707-525-6485
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