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Individual

JACQUELINE AILEEN GAMBESKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4 CORPORATE DR STE 290, SHELTON, CT 06484-6263
(203) 452-8322
Mailing address
401 BLACK ROCK TPKE, EASTON, CT 06612-1545
(203) 913-9483

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341643-1
NY

Other

Enumeration date
11/09/2017
Last updated
10/04/2022
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