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1063276152
JASON ALLEN
FLORENCE, SC
NPI
1063276152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 2023209997)
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
JASON ALLEN PMHNP-BC
2351 CHADWICK DR
FLORENCE, SC 29501-6423
Phone number: 843-616-3399
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Mailing Address
JASON ALLEN PMHNP-BC
1826 PARTRIDGE CIR
FLORENCE, SC 29505-3150
Phone number: 843-616-3399
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