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Individual
JESSICA LOGAN MINDICH
Active
Individual
JESSICA LOGAN MINDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B1978064
CA
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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