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SUSAN M GALLANT-BEHAN O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1326213950

Individual Registrant:
 SUSAN M GALLANT-BEHAN O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
11 BATCHELDER RD  SEABROOK, NH 03874-4402 US
Tel: 603-474-9664  Fax: --

Contact information for business:
PO BOX 56  HAMPTON FALLS, NH 03844-0056 US
Tel: 603-235-3009  Fax: --

Registration Information:
NPI: 1326213950
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
NH0716

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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