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1063933661
MATTHEW ALLEN
STOCKTON, CA
NPI
1063933661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 011199)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
MATTHEW ALLEN
1429 W FREMONT ST
STOCKTON, CA 95203-2635
Phone number: 732-740-6815
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Mailing Address
MATTHEW ALLEN
955 TOMS RIVER RD
JACKSON, NJ 08527-5239
Phone number: 732-740-6815
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