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1528713013
ANDRE LASHAWN ALLEN
OLYMPIA FIELDS, IL
NPI
1528713013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
ANDRE LASHAWN ALLEN CEO
20280 GOVERNORS HWY STE 206
OLYMPIA FIELDS, IL 60461-1068
Phone number: 708-898-0635
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Mailing Address
ANDRE LASHAWN ALLEN CEO
20280 GOVERNORS HWY STE 206
OLYMPIA FIELDS, IL 60461-1068
Phone number: 708-898-0635
Copy
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