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Individual
MS. OMA GAMA
Active
Individual
MS. OMA GAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632127
UNITED HEALTHCARE
—
Enumeration date
07/11/2006
Last updated
01/04/2013
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