Individual
MR. AL P GATELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N SAN ANTONIO RD, SANTA BARBARA, CA 93110-1316
(805) 681-5227
Mailing address
518 FARMLAND DR, BUELLTON, CA 93427-9314
(805) 886-8062
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0607994
DRIVERS LICENSE
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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