Individual
MARY GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
66 SPRUCE ST, PRESQUE ISLE, ME 04769-3243
(207) 769-2025
(207) 764-0629
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-2359
(207) 498-3947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R023447
ME
Other
Enumeration date
03/14/2006
Last updated
09/19/2013
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