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Individual

JACQUELINE ANN GALLAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
123 STONY RD, LANCASTER, NY 14086-1518
(716) 684-9434
Mailing address
123 STONY RD, LANCASTER, NY 14086-1518
(716) 684-9434

Taxonomy

Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
43-430232
NY
364SA2200X
Adult Health Clinical Nurse Specialist
30-303487
NY

Other

Enumeration date
08/20/2007
Last updated
08/20/2007
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