Individual
TERRY DON ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10516 PRESTBURY DR, INDIANAPOLIS, IN 46236
(317) 250-4414
Mailing address
10516 PRESTBURY DR, INDIANAPOLIS, IN 46236
(317) 250-4414
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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