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Individual

ABBY MCDONALD-GALLENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
474 W 200 N, SUTIE 100, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
474 W 200 N, SUTIE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MCDONA
SBHC STAFF CODE
UT
Enumeration date
05/14/2007
Last updated
07/08/2007
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