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DR. RAFAEL ANTONIO GAMBA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
112A RIVERSTONE PKWY, CANTON, GA 30114-2448
(770) 874-2020
(470) 785-2795
Mailing address
PO BOX 4398, CANTON, GA 30114-0017
(770) 874-2020
(470) 785-2795

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003130
GA

Other

Enumeration date
11/09/2018
Last updated
09/21/2021
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