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1730166174
KIMBERLY GALLANT
GORHAM, NH
NPI
1730166174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NH 0366P)
Enumeration Date
2005-12-28
Last Update Date
2014-08-28
Business Address
-- KIMBERLY GALLANT PAC
2 BROADWAY AVE
GORHAM, NH 03581-1502
Phone number: 603-466-2741
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Mailing Address
-- KIMBERLY GALLANT PAC
133 PLEASANT ST
BERLIN, NH 03570-2006
Phone number: 603-752-2040
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