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1902281066
MONICA KAITLYN LOGAN
CORBIN, KY
NPI
1902281066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY TC401)
Enumeration Date
2015-07-29
Last Update Date
2015-08-17
Business Address
MRS. MONICA KAITLYN LOGAN PA-C
1 TRILLIUM WAY
CORBIN, KY 40701-8727
Phone number: 606-523-8521
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Mailing Address
MRS. MONICA KAITLYN LOGAN PA-C
313 WYRICK ST APT A
CORBIN, KY 40701-1165
Phone number: 606-215-9469
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