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Individual

PAIGE JEAN GALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
227 FALCON DR STE 104, MT STERLING, KY 40353-9792
(859) 497-5160
(859) 497-5166
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2224
KY
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
PA2224
363AS0400X
Surgical Physician Assistant
PA2224
KY

Other

Enumeration date
05/25/2017
Last updated
04/01/2022
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