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Individual
SHALETA GALLOWAY
Active
Individual
SHALETA GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
17353
OH
164W00000X
Licensed Practical Nurse
240162
AZ
164W00000X
Licensed Practical Nurse
Primary
4703122868
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
MI
Enumeration date
03/03/2022
Last updated
03/03/2022
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