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Individual

ALICE J GALLAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6753 MARINE AVE, ARBUCKLE, CA 95912-9787
(530) 214-6025
Mailing address
6753 MARINE AVE, ARBUCKLE, CA 95912-9787
(530) 214-6025

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA959
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03900PGAZZZ26427Z40
BLUE CHIELD
CA
Enumeration date
01/01/2007
Last updated
07/08/2007
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