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1376829010
AMANDA MARIE ALLEN
PEORIA, IL
NPI
1376829010
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Former Name
AMANDA MARIE CRAWFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.004220)
Enumeration Date
2011-10-26
Last Update Date
2023-04-04
Business Address
MISS AMANDA MARIE ALLEN PA-C
8600 N STATE ROUTE 91 SUITE 300
PEORIA, IL 61615-9541
Phone number: 309-691-6616
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Mailing Address
MISS AMANDA MARIE ALLEN PA-C
2401 W ALTA RD APT. 1904
PEORIA, IL 61615-1279
Phone number: 219-508-5791
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