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1912527805
ANTHONY GALLO
PADUCAH, KY
NPI
1912527805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 134181)
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
ANTHONY GALLO
911 JOE CLIFTON DR
PADUCAH, KY 42001-3747
Phone number: 270-709-2784
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Mailing Address
ANTHONY GALLO
9610 MELDALE DR
WEST PADUCAH, KY 42086-9431
Phone number: 270-217-9113
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