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Individual

ALLEN DOUGLAS BURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.R.

Contact information

Practice address
1397 MAIN ST, SUITE B, CRETE, IL 60417-2951
(708) 672-4773
Mailing address
1397 MAIN ST, SUITE B, CRETE, IL 60417-2951
(708) 672-4773

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
175F00000X
Naturopath

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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