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Individual

MRS. LOGAN ALEXIS PFANSTIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
916 RED HOUSE RD, RICHMOND, KY 40475-9326
(859) 267-1144
Mailing address
5028 BOB WHITE DR, RICHMOND, KY 40475-8010
(859) 533-0270

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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