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1063447274
STEPHANIE C GARDNER
ALBUQUERQUE, NM
NPI
1063447274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM MD2006-0109)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
STEPHANIE C GARDNER MD
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1125
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Mailing Address
STEPHANIE C GARDNER MD
5901 HARPER DR NE PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87109-3587
Phone number: 505-823-8528
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