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Individual

JAYCINDA S GAMBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6409 COYOTE RIDGE CT, PLAINFIELD, IL 60586-2598
(779) 435-9061
Mailing address
6409 COYOTE RIDGE CT, PLAINFIELD, IL 60586-2598

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/13/2018
Last updated
11/13/2018
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