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Individual

JOVA GAMBOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(617) 371-3010
Mailing address
19 CHESTNUT ST APT 1, HYDE PARK, MA 02136-1509
(978) 235-2813

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
S98086223
MA

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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