Individual
MRS. SYRENA DANETTE GAMBLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
625 MCGUIRE RD, SYMSONIA, KY 42082-9245
(270) 519-7225
Mailing address
625 MCGUIRE RD, SYMSONIA, KY 42082-9245
(270) 519-7225
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
93154
KY
Other
Enumeration date
12/14/2005
Last updated
07/09/2007
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