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1811739121
LOGAN PROCK
WASHINGTON, DC
NPI
1811739121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-07
Last Update Date
2024-06-07
Business Address
LOGAN PROCK
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016-2633
Phone number: 202-537-4000
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Mailing Address
LOGAN PROCK
53 REDHAWK
IRVINE, CA 92604-3248
Phone number:
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