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Individual

KAREN LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1013 WOODLAWN DR, BYRDSTOWN, TN 38549-2317
(931) 864-3178
(931) 864-3376
Mailing address
1013 WOODLAWN DR, BYRDSTOWN, TN 38549-2317
(931) 864-3178
(931) 864-3376

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
74934
TN

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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