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Individual

DEBORAH LEE GALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
616 E CIRCLE RD, MEQUON, WI 53092-5926
(262) 227-1045
Mailing address
W64N438 MADISON AVE, CEDARBURG, WI 53012-2333
(262) 707-9142

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315383
WI

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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