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Individual
ALLEN JAMES STREELMAN
Active
Individual
ALLEN JAMES STREELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A3863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX38630
—
CA
01
—
010052829
RAILROAD
—
01
—
020A38630
BLUE SHIELD ID #
—
01
—
035425
HEALTH NET ID #
—
Enumeration date
06/02/2006
Last updated
07/11/2019
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