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Individual
MR. COREY ALLEN SR.
Active
Individual
MR. COREY ALLEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
2400448624
IN
343900000X
Non-emergency Medical Transport (VAN)
2400448624
IN
347C00000X
Private Vehicle
Primary
2400448624
IN
Other
Enumeration date
04/26/2023
Last updated
04/28/2023
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