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1649247156
NETTIE J LOGAN
FLORENCE, AL
NPI
1649247156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-015726)
Enumeration Date
2006-03-02
Last Update Date
2007-07-08
Business Address
-- NETTIE J LOGAN CRNA
103 HELTON CT
FLORENCE, AL 35630-1464
Phone number: 256-760-0672
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Mailing Address
-- NETTIE J LOGAN CRNA
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number:
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