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Individual

GARRETT ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5529
(937) 522-2778
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-9926

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
35.152560
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
35.152560
OH

Other

Enumeration date
04/05/2023
Last updated
02/02/2026
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