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1700293289
LYNELLE LOGAN
MINNEAPOLIS, MN
NPI
1700293289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 11676)
Enumeration Date
2014-07-17
Last Update Date
2021-09-09
Business Address
LYNELLE LOGAN MPAS
800 E 28TH ST STE H2100
MINNEAPOLIS, MN 55407-3723
Phone number: 612-863-3900
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Mailing Address
LYNELLE LOGAN MPAS
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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