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1356798896
RICK W ALLEN
ROCKFORD, IL
NPI
1356798896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: IL 213000032)
Enumeration Date
2016-05-14
Last Update Date
2023-08-11
Business Address
RICK W ALLEN C.O.
5929 EAST RIVERSIDE BLVD
ROCKFORD, IL 61114-4937
Phone number: 815-398-9491
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Mailing Address
RICK W ALLEN C.O.
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number:
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