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Individual

JESSICA LEANNE GAMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1701 N HWY 75, STE 100, SHERMAN, TX 75092
(903) 200-1807
(903) 222-9501
Mailing address
1701 N HWY 75, STE 100, SHERMAN, TX 75092
(903) 200-1807
(903) 222-9501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05463
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA05463
LICENSE
TX
Enumeration date
01/08/2008
Last updated
12/19/2024
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