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1740304153
JOSHUA C ALLISON
GLEN CARBON, IL
NPI
1740304153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: IL 212.000142)
Enumeration Date
2007-03-19
Last Update Date
2008-02-08
Business Address
-- JOSHUA C ALLISON c-ped
4225 S STATE ROUTE 159 STE 1
GLEN CARBON, IL 62034-3231
Phone number: 618-288-9297
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Mailing Address
-- JOSHUA C ALLISON c-ped
4225 S STATE ROUTE 159 STE 1
GLEN CARBON, IL 62034-3231
Phone number: 618-288-9297
Copy
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