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1629422449
CORIANTON ALLEN
BILOXI, MS
NPI
1629422449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 38396)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
-- CORIANTON ALLEN
660 POWER CIR
BILOXI, MS 39531-2565
Phone number: 208-709-6459
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Mailing Address
-- CORIANTON ALLEN
660 POWER CIR
BILOXI, MS 39531-2565
Phone number: 208-709-6459
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