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Individual

MR. THOMAS PATRICK GALVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
103 COTTON AVE, GILLETTE, WY 82718-6876
(307) 299-6919
Mailing address
103 COTTON AVE, GILLETTE, WY 82718-6876
(307) 299-6919

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
29479
WY
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/22/2009
Last updated
07/26/2011
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