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Individual
JUANITA GALLEGOS
Active
Individual
JUANITA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
352675
NY
176B00000X
Midwife
F000486-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01779886
—
NY
Enumeration date
02/25/2008
Last updated
02/01/2017
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