Individual
JACKLYN GALLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 FARGO ST, KLAMATH FALLS, OR 97603-4874
(541) 331-1563
Mailing address
1727 FARGO ST, KLAMATH FALLS, OR 97603-4874
(541) 331-1563
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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