Individual
COLIN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 W 100 N, VALPARAISO, IN 46385-7731
(219) 241-7182
Mailing address
345 W 100 N, VALPARAISO, IN 46385-7731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4420063664
IN
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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