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1114548104
GALLANT LION MEDICAL
BELLINGHAM, WA
NPI
1114548104
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Entity Type
Organization
Authorized Contact
ROBIN JACKSON
Owner
916-296-7909
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-04-30
Last Update Date
2023-10-02
Business Address
GALLANT LION MEDICAL
500 BIRCHWOOD AVE STE A
BELLINGHAM, WA 98225-1703
Phone number: 916-296-7909
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Mailing Address
GALLANT LION MEDICAL
500 BIRCHWOOD AVE STE A
BELLINGHAM, WA 98225-1703
Phone number: 916-296-7909
Copy
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