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1780684118
BRIAN KENELM ALLEN
LA CROSSE, WI
NPI
1780684118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WI 28854)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
Dr. BRIAN KENELM ALLEN D.O.
1300 BADGER ST STUDENT HEALTH CENTER
LA CROSSE, WI 54601-1502
Phone number: 608-785-5104
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Mailing Address
Dr. BRIAN KENELM ALLEN D.O.
31355 COUNTY ROAD 1
LA CRESCENT, MN 55947-4280
Phone number: 507-643-6558
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