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Individual

DR. JASON ANTHONY GAMBALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
454 BROADWAY, REVERE, MA 02151-3034
(781) 284-1661
(781) 823-6550
Mailing address
454 BROADWAY, REVERE, MA 02151-3034
(781) 284-1661
(781) 823-6550

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3321
MA

Other

Enumeration date
03/15/2011
Last updated
03/15/2011
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