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1386076990
PHILLIP RAY ALLEN
GLIDE, OR
NPI
1386076990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200050016)
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
-- PHILLIP RAY ALLEN FNP
182 OLD CABIN DR 182 OLD CABIN DRIVE
GLIDE, OR 97443-9750
Phone number: 541-496-0013
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Mailing Address
-- PHILLIP RAY ALLEN FNP
182 OLD CABIN DR 182 OLD CABIN DRIVE
GLIDE, OR 97443-9750
Phone number: 541-496-0013
Copy
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