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1437615879
EVERETT DOUGLAS ALLEN
EUREKA, CA
NPI
1437615879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
(Licence: CA G54881)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
EVERETT DOUGLAS ALLEN
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
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Mailing Address
EVERETT DOUGLAS ALLEN
PO BOX 98
CRESCENT CITY, CA 95531-0098
Phone number: 707-464-7863
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