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1851610653
ANGEL ALLEN DERMATOLOGY, LLC
JEFFERSON CITY, MO
NPI
1851610653
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Entity Type
Organization
Authorized Contact
ANGEL L. ALLEN
Dermatologist
573-659-1242
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MO 114887)
Enumeration Date
2010-05-19
Last Update Date
2012-09-24
Business Address
ANGEL ALLEN DERMATOLOGY, LLC
3234 W TRUMAN BLVD FIRST FLOOR
JEFFERSON CITY, MO 65109-5708
Phone number: 573-659-1242
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Mailing Address
ANGEL ALLEN DERMATOLOGY, LLC
PO BOX 106142
JEFFERSON CITY, MO 65110-6142
Phone number: 573-659-1242
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