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Individual
PROMISE C ALLAN
Active
Individual
PROMISE C ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R203070
MD
363LF0000X
Family Nurse Practitioner
Primary
R203070
MD
Other
Enumeration date
08/23/2019
Last updated
05/20/2026
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