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Individual

MELISSA AMY GALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
325 ILLINOIS RT 2, DIXON, IL 61021-9118
(815) 284-2834
Mailing address
2354 MAIN ST, CALEDONIA, IL 61011-9702
(815) 520-8006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/29/2013
Last updated
07/29/2013
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