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1508142902
MICHAEL GAMBOA RIVERA
MODESTO, CA
NPI
1508142902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41337)
Enumeration Date
2011-10-29
Last Update Date
2021-06-08
Business Address
Mr. MICHAEL GAMBOA RIVERA Physical Therapist
2117 STARLIGHT DR
MODESTO, CA 95357-0890
Phone number: 217-257-5283
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Mailing Address
Mr. MICHAEL GAMBOA RIVERA Physical Therapist
1100 MELODY LN STE 124
ROSEVILLE, CA 95678-5205
Phone number: 217-257-5283
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