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Individual
JOHN CLIFFORD ALLEN
Active
Individual
JOHN CLIFFORD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.A.A.E.T.S.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-083260
AL
173000000X
Legal Medicine
5064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2573723
UNITED HEALTH CARE
AZ
01
—
438196
AHCCCS
AZ
Enumeration date
06/13/2006
Last updated
11/26/2016
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