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Individual

GILBERT GALLAHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1171 E LINDA LN, CHANDLER, AZ 85225-3971
(310) 971-7673
Mailing address
1393 HILL ST, RADCLIFF, KY 40160-9138
(310) 971-7673

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
UT
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/10/2018
Last updated
06/29/2021
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