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Individual
TOM ALLEN
Active
Individual
TOM ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7201080-1202
UT
111N00000X
Chiropractor
DC28616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7201080-1202
CHIROPRACTOR
UT
01
—
DC28616
CHIROPRACTIC LICENSE
CA
Enumeration date
12/21/2006
Last updated
09/03/2010
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