Individual
SANDRA LYNN LE GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1765
(573) 596-4900
Mailing address
21705 RUDOLPH RD, WAYNESVILLE, MO 65583-2587
(573) 596-4947
(573) 596-4900
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
113203
MO
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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