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Individual

MRS. ANGELA GAMBOA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OMT

Contact information

Practice address
807 W LOWRY LN, TAMPA, FL 33604-4711
(813) 368-2163
Mailing address
3702 W SPRUCE ST # 1463, TAMPA, FL 33607-2553
(877) 662-1252

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DH18124
FL

Other

Enumeration date
10/06/2023
Last updated
10/06/2023
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