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Clayton Gallup
NPI 1316510738 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10029 30th St Ne
Lake Stevens, WA 98258 - Phone
- (602) 828-3847
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington