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Individual

EMILY G ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
616 19TH AVE S, GRAND FORKS, ND 58201-7336
(701) 741-2928
Mailing address
1925 S 51ST AVE, OMAHA, NE 68106-3107
(701) 741-2928

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/07/2022
Last updated
06/01/2023
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