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1144662545
GLENN GAMBOA
SUFFERN, NY
NPI
1144662545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 662852)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
-- GLENN GAMBOA RN
99 WASHINGTON AVE
SUFFERN, NY 10901-6026
Phone number: 845-357-4500
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Mailing Address
-- GLENN GAMBOA RN
13 BONNIE BRAE DR
MIDDLETOWN, NY 10941-1701
Phone number: 201-310-7837
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