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Individual
BONNIE LOU GALLO
Active
Individual
BONNIE LOU GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024107857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10010604N
SENTARA
VA
05
—
101297877
—
VA
Enumeration date
05/27/2006
Last updated
11/23/2011
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