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1154561751
TERRI G GALLISHAW
SYRACUSE, NY
NPI
1154561751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 294419)
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
TERRI G GALLISHAW LPN
213 MONTICELLO DR S
SYRACUSE, NY 13205-2810
Phone number: 912-675-5896
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Mailing Address
TERRI G GALLISHAW LPN
PO BOX 15195
SYRACUSE, NY 13215-0195
Phone number: 912-675-5896
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