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Individual
GARY ALLEN
Active
Individual
GARY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, ATC
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS15595
FL
Other
Enumeration date
03/23/2016
Last updated
08/07/2020
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