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1043716913
NICHOLAS T. GAMBOA
SALT LAKE CITY, UT
NPI
1043716913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-01
Last Update Date
2019-09-13
Business Address
Dr. NICHOLAS T. GAMBOA M.D.
175 N MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Phone number: 801-581-6908
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Mailing Address
Dr. NICHOLAS T. GAMBOA M.D.
175 N MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132
Phone number: 801-581-6908
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