DEREK BEAU ALLEN

OLIVER SPRINGS, TN
NPI1588482368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  102717)
Enumeration Date2024-09-30
Last Update Date2024-11-09
Business Address
Mr. DEREK BEAU ALLEN LPN
300 W SPRING ST
OLIVER SPRINGS, TN 37840-1607
Phone number: 606-273-1869
Mailing Address
Mr. DEREK BEAU ALLEN LPN
300 W SPRING ST
OLIVER SPRINGS, TN 37840-1607
Phone number: 606-273-1869
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