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Individual
MRS. LEA ANN LOGAN
Active
Individual
MRS. LEA ANN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41238
TX
Other
Enumeration date
09/03/2006
Last updated
03/19/2009
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