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Individual

ANTWAIN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-3451
Mailing address
2206 N WESTNEDGE AVE, KALAMAZOO, MI 49007-1790
(269) 993-1362

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704298798
MI

Other

Enumeration date
03/09/2018
Last updated
03/28/2025
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