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1770196206
LOGAN DANIEL DAVISON
KNOXVILLE, TN
NPI
1770196206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 27943)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
LOGAN DANIEL DAVISON NP-C
6702 CLINTON HWY
KNOXVILLE, TN 37912-1018
Phone number: 865-293-4269
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Mailing Address
LOGAN DANIEL DAVISON NP-C
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number:
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