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Jennie Logan
NPI 1982025805 · on the registry since 2013 · sole proprietor
Practice
- Address
- 218 Concord Ave
Mercerville, NJ 08619 - Phone
- (732) 770-1487
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey