Individual
MS. GAYLE MARIE LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 335-5988
(307) 332-7464
Mailing address
353 CLIFF ST, LANDER, WY 82520-3333
(307) 332-5551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15541
WY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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