Individual
BONNIE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 682-3005
Mailing address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 682-3005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 45888-5
MN
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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