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1104297134
VICTOR GARDNER
MONROE, LA
NPI
1104297134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-16
Last Update Date
2018-07-12
Business Address
VICTOR GARDNER
908 N 3RD ST
MONROE, LA 71201
Phone number: 318-325-8748
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Mailing Address
VICTOR GARDNER
908 N 3RD ST
MONROE, LA 71201-5844
Phone number: 318-325-8748
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