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Individual

MS. JENNIFER GALLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
26706 262ND AVE SE, RAVENSDALE, WA 98051-9520
(949) 510-4526
Mailing address
26706 262ND AVE SE, RAVENSDALE, WA 98051-9520
(949) 510-4526

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60263232
WA

Other

Enumeration date
05/14/2012
Last updated
05/14/2012
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