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1750116471
MIA GALLUCH
NEWARK, OH
NPI
1750116471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH 0037442)
Enumeration Date
2024-09-03
Last Update Date
2024-09-10
Business Address
MIA GALLUCH FNP
1930 TAMARACK RD
NEWARK, OH 43055-2303
Phone number: 740-522-7600
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Mailing Address
MIA GALLUCH FNP
2615 KILKENNY CT
SPRINGFIELD, OH 45503-1164
Phone number: 937-925-2882
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