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1205254521
ROSE JENNIFER LUYUN GAMBOA
SUNRISE, FL
NPI
1205254521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1237166)
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
-- ROSE JENNIFER LUYUN GAMBOA
1580 SAWGRASS CORPORATE PKWY SUITE 100
SUNRISE, FL 33323
Phone number: 954-739-4247
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Mailing Address
-- ROSE JENNIFER LUYUN GAMBOA
4011 N. PINE ISLAND ROAD, APT 304 SHAMROCK APARTMENTS
SUNRISE, FL 33351
Phone number: 703-627-8368
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