Individual
MR. ALEJANDRO JAVIER GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 CHESTNUT ST, ERIE, PA 16502-1303
(330) 962-3330
Mailing address
PO BOX 5226, FAIRLAWN, OH 44334-0226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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