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1679174064
SHANA NATRICE LOGAN
FARMINGTON HILLS, MI
NPI
1679174064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703121393)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
SHANA NATRICE LOGAN
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-299-0030
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Mailing Address
SHANA NATRICE LOGAN
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-299-0030
Copy
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