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Individual

MONIQUE YVONNE GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(603) 733-6142
Mailing address
2411 BAKER RIDGE ROAD, WILLISBURG, KY 40078
(603) 733-6142

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
243798
KY

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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