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1881253714
GUSSIE LOGAN
BURLINGTON, VT
NPI
1881253714
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Former Name
GUSSIE BELISLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VT 101.0134357)
Enumeration Date
2019-06-13
Last Update Date
2023-06-30
Business Address
GUSSIE LOGAN NP
1127 NORTH AVE STE 1
BURLINGTON, VT 05408-2756
Phone number: 802-846-8105
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Mailing Address
GUSSIE LOGAN NP
600 BLAIR PARK RD STE 285
WILLISTON, VT 05495-7586
Phone number: 802-288-1140
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