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1548013204
SAMUEL J GALLO
FAIRFIELD, CA
NPI
1548013204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
SAMUEL J GALLO DO
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-7208
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Mailing Address
SAMUEL J GALLO DO
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number:
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