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Individual

DR. BRECKGLYN REA ALLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3485 W 10TH ST STE C, GREELEY, CO 80634-5368
(970) 353-4746
(970) 353-4751
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9667
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000170502
CO
01
DEN.00009667
CO OPTOMETRY LICENSE
CO
Enumeration date
05/05/2008
Last updated
06/12/2019
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