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1659474773
EDWARD RAINIER GAMBOA SANTOS
PLYMOUTH, MN
NPI
1659474773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MN 47367)
Enumeration Date
2006-09-06
Last Update Date
2021-03-09
Business Address
Dr. EDWARD RAINIER GAMBOA SANTOS MD
15700 37TH AVE N STE 150
PLYMOUTH, MN 55446-3675
Phone number: 651-968-5201
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Mailing Address
Dr. EDWARD RAINIER GAMBOA SANTOS MD
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number: 651-968-5201
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