LESTER GALLIVAN

LOUISVILLE, KY
NPI1437787934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities
(Licence: AZ  80484)
Enumeration Date2020-03-30
Last Update Date2026-07-01
Business Address
LESTER GALLIVAN
500 S PRESTON ST RM 113
LOUISVILLE, KY 40202-1702
Phone number: 502-852-4277
Mailing Address
LESTER GALLIVAN
2108 E THOMAS RD
PHOENIX, AZ 85016-7761
Phone number: 602-933-3124
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