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1033136635
ALLEN THOMAS
CHAMPAIGN, IL
NPI
1033136635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-000889)
Enumeration Date
2006-07-17
Last Update Date
2015-03-05
Business Address
ALLEN THOMAS P.A.-C
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-8130
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Mailing Address
ALLEN THOMAS P.A.-C
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-8107
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