Individual
MOLLY LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
3617 S TODD ST, MARION, IN 46953-4613
(765) 603-2905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28219542A
IN
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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