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GRACIELA TERESITA GALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3601
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4000
(904) 697-5102

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
RN9335226
FL
363L00000X
Nurse Practitioner
Primary
APRN11004910
FL
363L00000X
Nurse Practitioner
RN9335226
FL

Other

Enumeration date
07/23/2019
Last updated
11/19/2019
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