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Organization

BON SECOURS MERCY HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOGAN JAMES RIDENOUR CNP (NURSE PRACTITIONER)
(419) 234-7449
Entity
Organization

Contact information

Practice address
770 W HIGH ST STE 350, LIMA, OH 45801-5901
(419) 228-8950
Mailing address
206 HALL AVE, COLUMBUS GROVE, OH 45830-1315
(419) 234-7449

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
08/13/2024
Last updated
09/26/2024
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