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Individual

AMBER ROSE GAMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2140 US HIGHWAY 23 S, ALPENA, MI 49707-4542
(989) 354-4630
(989) 354-0030
Mailing address
490 PINE MEADOW LN APT 53, ALPENA, MI 49707-1382
(727) 485-6888

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303023960
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5303023960
STATE LICENSE
MI
Enumeration date
05/27/2021
Last updated
05/27/2021
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