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1932575040
LOGAN GREGORY DAVIS
WILKES BARRE, PA
NPI
1932575040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-08-12
Last Update Date
2018-02-21
Business Address
LOGAN GREGORY DAVIS
677 KIDDER STREET
WILKES BARRE, PA 18702
Phone number: 570-825-2046
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Mailing Address
LOGAN GREGORY DAVIS
677 KIDDER STREET
WILKES BARRE, PA 18702
Phone number: 570-825-2046
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