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1841950839
MARY CAROLINE LOGAN
GREENWOOD VILLAGE, CO
NPI
1841950839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: CO ANT.0000175)
Enumeration Date
2021-12-18
Last Update Date
2022-02-14
Business Address
MARY CAROLINE LOGAN AA
8000 E MAPLEWOOD AVE STE 200
GREENWOOD VILLAGE, CO 80111-4727
Phone number: 303-438-3999
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Mailing Address
MARY CAROLINE LOGAN AA
PO BOX 840862
DALLAS, TX 75284-0862
Phone number: 303-377-7638
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