1215306618

Everything you always wanted to know about GALLAGHER LESLIE but were afraid to ask.

GALLAGHER LESLIE

You can also download the this 1215306618 data report as csv | excel | json | xml
Provider Last Name Provider First Name
GALLAGHER LESLIE
Gender:
Female
Enumeration date:
2015-09-16
Last update date:
2015-09-17
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
171M00000X Case Manager/Care Coordinator none none Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2392753222
Practice Location Address Telephone Number 2392753222

Addresses

Type Address City State Postal Country
Mailing Address 2789 ORTIZ AVE FORT MYERS FL 0 FL
Practice Location Address 2789 ORTIZ AVENUE FT MYERS FL 0 FL

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2789 ORTIZ AVE FL FORT MYERS
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2789 ORTIZ AVE FL FORT MYERS
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Individual
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Individual
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Individual
2789 ORTIZ AVE FL FORT MYERS