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MR. EDWARD TIMOTHY ALLEN

Registered Nurse First Assistant >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1457628935

Individual Registrant:
MR. EDWARD TIMOTHY ALLEN 
Gender: M
Sole Proprietor

Location and contact information for practice:
405 SAVANNAH RIDGE DR  SAINT CHARLES, MO 63303-2918 US
Tel: 636-244-0704  Fax: 636-244-0704

Contact information for business:
405 SAVANNAH RIDGE DR  SAINT CHARLES, MO 63303-2918 US
Tel: 636-244-0704  Fax: 636-244-0704

Registration Information:
NPI: 1457628935
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WR0006XNursing Service Providers
Registered Nurse
Registered Nurse First Assistant
MO084580

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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