LESTER ADAMS GALLIVAN

PHOENIX, AZ
NPI1437787934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities
(Licence: AZ  80484)
Enumeration Date2020-03-30
Last Update Date2026-08-10
Business Address
LESTER ADAMS GALLIVAN
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0970
Mailing Address
LESTER ADAMS GALLIVAN
2108 E THOMAS RD
PHOENIX, AZ 85016-7761
Phone number: 602-933-3124
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