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1205407376
MANDIE ROSE GARDNER
TUMWATER, WA
NPI
1205407376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61185174)
Enumeration Date
2021-07-08
Last Update Date
2021-07-08
Business Address
MANDIE ROSE GARDNER ARNP
7146 COUNTRY VILLAGE DR SW
TUMWATER, WA 98512-7062
Phone number: 219-384-7104
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Mailing Address
MANDIE ROSE GARDNER ARNP
7146 COUNTRY VILLAGE DR SW
TUMWATER, WA 98512-7062
Phone number: 219-384-7104
Copy
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