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1871062125
LOGAN NICHOLS
CASA GRANDE, AZ
NPI
1871062125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7343)
Enumeration Date
2018-11-15
Last Update Date
2019-01-08
Business Address
LOGAN NICHOLS PA-C
865 N ARIZOLA RD
CASA GRANDE, AZ 85122-6011
Phone number: 520-836-3446
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Mailing Address
LOGAN NICHOLS PA-C
762 E CHICAGO ST
CHANDLER, AZ 85225-9420
Phone number:
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