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Individual
DAMON VINCENT ALLEN
Active
Individual
DAMON VINCENT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022207
NY
363A00000X
Physician Assistant
Primary
PA7753
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022207
NEW YORK STATE EDUCATION DEPARTMENT
NY
01
—
PA7753
MASSACHUSETTS BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS
MA
Enumeration date
07/10/2018
Last updated
12/14/2024
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