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1164929105
ROBERT J GARDNER
KINGSPORT, TN
NPI
1164929105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 24098)
Enumeration Date
2018-04-06
Last Update Date
2021-03-31
Business Address
ROBERT J GARDNER MSN
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
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Mailing Address
ROBERT J GARDNER MSN
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-5590
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