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1730963604
WEST LOGAN PRIMARY CARE LLC
LOGAN, WV
NPI
1730963604
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Entity Type
Organization
Authorized Contact
EVA STANLEY
Owner
304-946-8286
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-08-22
Last Update Date
2023-12-09
Business Address
WEST LOGAN PRIMARY CARE LLC
947 OLD LOGAN RD
LOGAN, WV 25601-3341
Phone number: 304-831-0085
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Mailing Address
WEST LOGAN PRIMARY CARE LLC
1776 HURRICANE BRANCH RD
CHAPMANVILLE, WV 25508-5241
Phone number: 304-946-8286
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