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1962151605
LOGAN JAMES DEYO
WINSTON SALEM, NC
NPI
1962151605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-21
Last Update Date
2024-06-15
Business Address
LOGAN JAMES DEYO MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
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Mailing Address
LOGAN JAMES DEYO MD
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3182
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