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1992219836
GALLEGO HEALTH
SHREVEPORT, LA
NPI
1992219836
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Entity Type
Organization
Authorized Contact
HECTOR GALLEGO
President
318-773-0657
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: LA 208256)
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
GALLEGO HEALTH
115 HALLETTE DR
SHREVEPORT, LA 71115-2959
Phone number: 318-773-0657
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Mailing Address
GALLEGO HEALTH
PO BOX 19284
SHREVEPORT, LA 71149-0284
Phone number: 318-773-0657
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