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Individual

JAYLEEN K GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1030 MONROE ST, GALESBURG, IL 61401-2540
(309) 344-0212
Mailing address
1030 MONROE ST, GALESBURG, IL 61401-2540
(309) 344-0212

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043101800
IL

Other

Enumeration date
01/23/2017
Last updated
01/23/2017
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