Individual
MR. KEVIN RAY GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29200 SCHOOLCRAFT RD, LIVONIA, MI 48150-2228
(734) 523-1710
Mailing address
1961 RIDGEVIEW, LOT 7, YPSILANTI, MI 48198-9515
(734) 485-1319
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
120104451938143
MI
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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