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1790799120
JEFFREY S LOGAN
DENVER, CO
NPI
1790799120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 777)
Enumeration Date
2006-07-28
Last Update Date
2024-05-09
Business Address
Mr. JEFFREY S LOGAN PA
777 BANNOCK ST
DENVER, CO 80204-4597
Phone number: 303-602-8710
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Mailing Address
Mr. JEFFREY S LOGAN PA
777 BANNOCK ST
DENVER, CO 80204-4597
Phone number: 303-602-8710
Copy
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