JUSTIN SHANE GALLEGOS

LOS GATOS, CA
NPI1194079582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-11-06
Last Update Date2012-11-06
Business Address
-- JUSTIN SHANE GALLEGOS
16400 BLOSSOM HILL RD
LOS GATOS, CA 95032-3553
Phone number: 408-335-2100
Mailing Address
-- JUSTIN SHANE GALLEGOS
72 CANNERY CIR
CAMPBELL, CA 95008-1442
Phone number: 408-705-6821
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