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Individual

JOCELYN GAMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10450 185TH ST W STE 100, LAKEVILLE, MN 55044-6696
(507) 322-7752
Mailing address
18351 KENYON AVE APT 223, LAKEVILLE, MN 55044-4746
(651) 399-3105

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
08/11/2020
Last updated
08/11/2020
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