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1366040842
STEVEN CHARLES ALLEN
GREEN BAY, WI
NPI
1366040842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 10048-40)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
STEVEN CHARLES ALLEN
2292 MAIN ST
GREEN BAY, WI 54311-5199
Phone number: 920-465-7737
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Mailing Address
STEVEN CHARLES ALLEN
1260 CAROLE LANE
GREEN BAY, WI 54313
Phone number: 920-819-1005
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