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Individual

JASON M ALLRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-4431
Mailing address
91 PUTTER LN, WADENA, MN 56482-8900
(218) 371-1820

Taxonomy

Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT20
MN

Other

Enumeration date
01/28/2013
Last updated
01/28/2013
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