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Individual

JANE E GAMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Mailing address
814 PIERCE ST, SUITE 102, SIOUX CITY, IA 51101-1058

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01269
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970013502
RAILROAD MEDICARE
IA
Enumeration date
06/22/2005
Last updated
11/27/2013
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