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1972862159
MICHAEL ALLEN
MIDLAND, TX
NPI
1972862159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 70)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TX 70)
Enumeration Date
2012-05-09
Last Update Date
2012-05-09
Business Address
-- MICHAEL ALLEN CPO
2502 W OHIO AVE
MIDLAND, TX 79701-5848
Phone number: 432-683-3788
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Mailing Address
-- MICHAEL ALLEN CPO
2502 W OHIO AVE
MIDLAND, TX 79701-5848
Phone number: 432-683-3788
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