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Individual
SAMANTHA LOGRASSO
Active
Individual
SAMANTHA LOGRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285749
MI
363LP2300X
Primary Care Nurse Practitioner
4704285749
MI
Other
Enumeration date
08/01/2019
Last updated
03/26/2026
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