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1245847367
MARLIN CALVIN ALLEN
DALTON, GA
NPI
1245847367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN237743)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
MARLIN CALVIN ALLEN
1209 W WALNUT AVE STE 1
DALTON, GA 30720-3961
Phone number: 706-459-3572
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Mailing Address
MARLIN CALVIN ALLEN
149 JOYCE DR
RINGGOLD, GA 30736-2707
Phone number: 478-697-1725
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