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1437813987
JAMES GALLAGHER
ROSEBURG, OR
NPI
1437813987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 25278)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
JAMES GALLAGHER
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 540-440-1000
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Mailing Address
JAMES GALLAGHER
120 TIN CAN ALY
SUMMERVILLE, SC 29483-7952
Phone number: 843-864-8806
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