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1962894212
LOGAN J KELLER
LAKE CHARLES, LA
NPI
1962894212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08215)
Enumeration Date
2015-02-24
Last Update Date
2022-04-27
Business Address
LOGAN J KELLER NP
2770 3RD AVE STE 110
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-4747
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Mailing Address
LOGAN J KELLER NP
P O BOX 122425 DEPT 2425
DALLAS, TX 75312-2425
Phone number: 337-494-2921
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