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1063041036
TANYALE ALLEN
DOLTON, IL
NPI
1063041036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
TANYALE ALLEN
1016 E 156TH PL
DOLTON, IL 60419-2775
Phone number: 708-541-0163
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Mailing Address
TANYALE ALLEN
1016 E 156TH PL
DOLTON, IL 60419-2775
Phone number: 708-541-0163
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