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1114549920
JOSE L GAMBOA
OKLAHOMA CITY, OK
NPI
1114549920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: OK 2694)
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
Mr. JOSE L GAMBOA PTA
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162-5509
Phone number: 405-721-2466
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Mailing Address
Mr. JOSE L GAMBOA PTA
9017 N UNIVERSITY AVE APT 14209
OKLAHOMA CITY, OK 73114-4312
Phone number: 918-320-1205
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