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1225506165
WILSON GALLOW
GONZALES, LA
NPI
1225506165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
WILSON GALLOW
108 E SANDERS ST
GONZALES, LA 70737-3144
Phone number: 225-647-4105
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Mailing Address
WILSON GALLOW
13346 FLEUR DE LIS DR
GONZALES, LA 70737-6573
Phone number: 225-337-1007
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