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1821429051
STEPHANIE GAMBOA
OSWEGO, NY
NPI
1821429051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-13
Last Update Date
2013-12-13
Business Address
-- STEPHANIE GAMBOA
335 W 1ST ST
OSWEGO, NY 13126-3655
Phone number: 315-343-3344
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Mailing Address
-- STEPHANIE GAMBOA
29 BIRCH LN APT 11E
OSWEGO, NY 13126-4257
Phone number: 315-591-6881
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