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Individual

MRS. MARION LOGAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 617-2710
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 617-2710

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
393510
CA

Other

Enumeration date
06/10/2006
Last updated
07/08/2007
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