Prudence Logan, ST
Prudence Logan, ST is a Surgical Technologist in Normal, Illinois. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
112 Boeykens Pl Ste 2ANormal, IL 61761-2152
Phone: (309) 846-4716
Fax: (309) 454-7348
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Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X |
|---|
Record details
| NPI number | 1457658288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ST |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2011 |
| Last updated in NPPES | February 14, 2011 |
| Mailing address | 112 Boeykens Pl Ste 2a, Normal, IL 61761-2152 |
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