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1619953270
E KEITH ALLEN
CEDAR RAPIDS, IA
NPI
1619953270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 000948)
Enumeration Date
2005-12-15
Last Update Date
2007-10-19
Business Address
-- E KEITH ALLEN PAC
6911 C AVE NE
CEDAR RAPIDS, IA 52402-1349
Phone number: 319-832-1463
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Mailing Address
-- E KEITH ALLEN PAC
6911 C AVE NE
CEDAR RAPIDS, IA 52402-1349
Phone number: 319-832-1463
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