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1902949951
PK LOGAN
FULLERTON, CA
NPI
1902949951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA12280)
Enumeration Date
2007-02-15
Last Update Date
2018-09-24
Business Address
PK LOGAN PA-C
150 LAGUNA RD
FULLERTON, CA 92835-3614
Phone number: 714-447-4800
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Mailing Address
PK LOGAN PA-C
832 SUNSET DR
HERMOSA BEACH, CA 90254-4248
Phone number:
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