CARLOS DEWAYNE ALLEN

SAINT LOUIS, MO
NPI1851613970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2010-02-16
Last Update Date2010-02-16
Business Address
-- CARLOS DEWAYNE ALLEN
1864 ATMORE DR
SAINT LOUIS, MO 63136-3334
Phone number: 314-388-0726
Mailing Address
-- CARLOS DEWAYNE ALLEN
1864 ATMORE DR
SAINT LOUIS, MO 63136-3334
Phone number: 314-388-0726
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