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1114391406
MICAH GAYLE GALLAS
LEXINGTON, KY
NPI
1114391406
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Former Name
MICAH GAYLE DOUGLAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: KY 3009853)
Enumeration Date
2015-11-24
Last Update Date
2016-10-12
Business Address
Mrs. MICAH GAYLE GALLAS
800 ROSE ST
LEXINGTON, KY 40536-0001
Phone number: 859-218-4939
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Mailing Address
Mrs. MICAH GAYLE GALLAS
800 ROSE ST
LEXINGTON, KY 40536-0001
Phone number:
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