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Individual

ANDREA LYNN LOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1007 N WARD AVE, GIRARD, OH 44420-1957
(330) 240-9497
Mailing address
1007 N WARD AVE, GIRARD, OH 44420-1957
(330) 240-9497

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
336530
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
336530
REGISTERED NURSE
OH
Enumeration date
06/30/2021
Last updated
06/30/2021
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