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1699137786
LOGAN D FAIR
JACKSON, MS
NPI
1699137786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MS 28954)
Enumeration Date
2016-03-28
Last Update Date
2021-07-29
Business Address
LOGAN D FAIR MD
501 MARSHALL ST STE 500
JACKSON, MS 39202-1615
Phone number: 601-948-1411
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Mailing Address
LOGAN D FAIR MD
501 MARSHALL ST STE 500
JACKSON, MS 39202-1615
Phone number: 601-948-1411
Copy
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