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1215039003
JOHN EDWIN ALLEN
LAKE VILLA, IL
NPI
1215039003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2006-09-02
Last Update Date
2011-12-12
Business Address
MR. JOHN EDWIN ALLEN RKT
216 OAK KNOLL DR
LAKE VILLA, IL 60046-8669
Phone number: 847-356-0819
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Mailing Address
MR. JOHN EDWIN ALLEN RKT
216 OAK KNOLL DR
LAKE VILLA, IL 60046-8669
Phone number: 847-356-0819
Copy