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1548594062
TRAVIS LEE ALLEN
IDAHO FALLS, ID
NPI
1548594062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-819)
Enumeration Date
2009-09-30
Last Update Date
2014-10-15
Business Address
-- TRAVIS LEE ALLEN PA-C
2375 E SUNNYSIDE RD SUITE J
IDAHO FALLS, ID 83404-8280
Phone number: 208-522-7246
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Mailing Address
-- TRAVIS LEE ALLEN PA-C
2375 E SUNNYSIDE RD SUITE J
IDAHO FALLS, ID 83404-8280
Phone number: 208-522-7246
Copy
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