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KIMBERLY GAMBOA NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1528652450

Individual Registrant:
 KIMBERLY  GAMBOA NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
950 E MAIN ST BLDG B  SOMERTON, AZ 85350-7409 US
Tel: 928-236-8001  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-315-7910  Fax: 928-722-6113

Registration Information:
NPI: 1528652450
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZ254402

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AZ STATE LICENSE254402AZ01




HEALTH CARE JOBS AZ - Page 1



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