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1699335968
LOGAN SCOTT VANSICKLE
HENDERSON, KY
NPI
1699335968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3013499)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
Mr. LOGAN SCOTT VANSICKLE APRN
411 LETCHER ST
HENDERSON, KY 42420-4245
Phone number: 270-831-7950
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Mailing Address
Mr. LOGAN SCOTT VANSICKLE APRN
1305 N ELM ST
HENDERSON, KY 42420-2775
Phone number: 270-827-7200
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