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1003012162
DARCESEAN GAMBLE
SHERMAN OAKS, CA
NPI
1003012162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 15713)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
Mr. DARCESEAN GAMBLE PA
4955 VAN NUYS BLVD STE 411
SHERMAN OAKS, CA 91403-1824
Phone number: 818-784-1195
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Mailing Address
Mr. DARCESEAN GAMBLE PA
5137 ONAKNOLL AVE
LOS ANGELES, CA 90043-1039
Phone number: 310-403-2510
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