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Individual

JAIME GAMBOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3591 MCKINNEY ST STE 400, MELISSA, TX 75454
(972) 464-1611
(972) 913-6216
Mailing address
3591 MCKINNEY ST STE 400, MELISSA, TX 75454-9504
(972) 464-1611
(972) 913-6216

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135470
TX

Other

Enumeration date
10/26/2017
Last updated
12/07/2018
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