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Individual

GARY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DOM

Contact information

Practice address
1925 JUAN TABO NE, SUITE E, ALBUQUERQUE, NM 87112
(505) 291-8017
Mailing address
37A MOONLIGHT MEADOW, EDGEWOOD, NM 87015
(505) 286-2728

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
350
NM

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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