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1780107433
MARK ALAN LOGAN
LOS ANGELES, CA
NPI
1780107433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95013193)
Enumeration Date
2017-07-24
Last Update Date
2024-03-26
Business Address
Mr. MARK ALAN LOGAN PMHNP-BC
538 N DETROIT ST
LOS ANGELES, CA 90036-1949
Phone number: 310-751-1080
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Mailing Address
Mr. MARK ALAN LOGAN PMHNP-BC
538 N DETROIT ST
LOS ANGELES, CA 90036-1949
Phone number: 310-751-1080
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