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1003168899
JOHN TODD ALLEN
BLACKFOOT, ID
NPI
1003168899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-999)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
-- JOHN TODD ALLEN PA-C
700 E ALICE ST
BLACKFOOT, ID 83221-4925
Phone number: 208-785-1200
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Mailing Address
-- JOHN TODD ALLEN PA-C
700 E ALICE ST
BLACKFOOT, ID 83221-4925
Phone number: 208-785-1200
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