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1770109969
GREGARY ROBERT LOGAN
PAINESVILLE, OH
NPI
1770109969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.026323)
Enumeration Date
2020-06-23
Last Update Date
2024-10-16
Business Address
GREGARY ROBERT LOGAN
1506 MENTOR AVE
PAINESVILLE, OH 44077-1705
Phone number: 866-389-2727
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Mailing Address
GREGARY ROBERT LOGAN
1506 MENTOR AVE
PAINESVILLE, OH 44077-1705
Phone number: 866-389-2727
Copy
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