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1770194656
MARIA JOSE GAMBOA
PLANTATION, FL
NPI
1770194656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA30483)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
MARIA JOSE GAMBOA PTA
8020 CLEARY BLVD APT 207
PLANTATION, FL 33324-1349
Phone number: 954-309-7602
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Mailing Address
MARIA JOSE GAMBOA PTA
8020 CLEARY BLVD APT 207
PLANTATION, FL 33324-1349
Phone number: 954-309-7602
Copy
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