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Individual
LOGAN BRANDON THRASHER
Active
Individual
LOGAN BRANDON THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018016309
AL
Other
Enumeration date
12/21/2018
Last updated
03/23/2019
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