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Individual

ANGELA OPAL ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5129 DIXIE HWY STE 206, LOUISVILLE, KY 40216-1727
(502) 995-7008
Mailing address
7814 CORYDON RIDGE RD, LANESVILLE, IN 47136-9433
(812) 207-0720

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014848
KY

Other

Enumeration date
11/11/2020
Last updated
11/11/2020
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