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1346010923
YASMEEN ELIZA GAMBOA
RAPID CITY, SD
NPI
1346010923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00761000)
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
YASMEEN ELIZA GAMBOA LAC, NCC
2165 PROMISE RD
RAPID CITY, SD 57701-8981
Phone number: 605-718-1095
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Mailing Address
YASMEEN ELIZA GAMBOA LAC, NCC
2165 PROMISE RD
RAPID CITY, SD 57701-8981
Phone number: 605-718-1095
Copy
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