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Individual

LOGAN CHRONISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 826-8833
Mailing address
601 E 14TH ST, SEDALIA, MO 65301-5972

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025003954
MO

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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