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Individual
JENNIFER GAMBLE
Active
Individual
JENNIFER GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
11977
GA
207RC0000X
Cardiovascular Disease Physician
11977
GA
363A00000X
Physician Assistant
Primary
11977
GA
Other
Enumeration date
10/18/2023
Last updated
12/28/2023
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