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1104172311
MARICELA GAMBOA
SALT LAKE CITY, UT
NPI
1104172311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 9498269-2501)
Enumeration Date
2012-07-25
Last Update Date
2015-12-18
Business Address
-- MARICELA GAMBOA Psy.D.
525 E 100 S SUITE 120
SALT LAKE CITY, UT 84102-4210
Phone number: 801-483-2447
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Mailing Address
-- MARICELA GAMBOA Psy.D.
525 E 100 S SUITE 120
SALT LAKE CITY, UT 84102-4210
Phone number: 801-483-2447
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