Individual
MARY GALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 277-2322
Mailing address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 277-2322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8528209-3102
UT
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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