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1982716221
SUSAN C LOGAN
SANTA ROSA, CA
NPI
1982716221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA G69486)
Enumeration Date
2006-08-31
Last Update Date
2019-01-29
Business Address
SUSAN C LOGAN M.D.
1111 SONOMA AVENUE SUITE 202
SANTA ROSA, CA 95405
Phone number: 707-575-1626
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Mailing Address
SUSAN C LOGAN M.D.
1111 SONOMA AVENUE SUITE 202
SANTA ROSA, CA 95405
Phone number: 707-575-1626
Copy
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