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1760149314
JUSTIN REID GALLAGHER
BOWLING GREEN, KY
NPI
1760149314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 245455)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
JUSTIN REID GALLAGHER OT
165 NATCHEZ AVE UNIT 200
BOWLING GREEN, KY 42103
Phone number: 270-796-4698
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Mailing Address
JUSTIN REID GALLAGHER OT
150 RUBY DR APT 1A
ELIZABETHTOWN, KY 42701-4674
Phone number: 270-899-0285
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