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1629546437
RAFAEL ANTONIO GAMBA
CANTON, GA
NPI
1629546437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA OPT003130)
Enumeration Date
2018-11-09
Last Update Date
2021-09-21
Business Address
Dr. RAFAEL ANTONIO GAMBA OD
112A RIVERSTONE PKWY
CANTON, GA 30114-2448
Phone number: 770-874-2020
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Mailing Address
Dr. RAFAEL ANTONIO GAMBA OD
PO BOX 4398
CANTON, GA 30114-0017
Phone number: 770-874-2020
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