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Individual

JARED ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9811 W CHARLESTON BLVD, BLVD #2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
(888) 315-4512
Mailing address
3620 GRAMERCY AVE, OGDEN, UT 84403-1918
(801) 643-5057

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2472E0500X
EEG Technician

Other

Enumeration date
12/17/2010
Last updated
08/14/2015
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