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JESSICA LYNN GALLUS RN

Emergency >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1225283328

Individual Registrant:
 JESSICA LYNN GALLUS RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
456 GROS VENTRE AVE  HARLEM, MT 59526 US
Tel: 406-353-3100  Fax: --

Contact information for business:
RR 1 BOX 67  HARLEM, MT 59526-9705 US
Tel: 406-353-3100  Fax: --

Registration Information:
NPI: 1225283328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WE0003XNursing Service Providers
Registered Nurse
Emergency
MT34824

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE34824MT01




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