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1275905820
KIMBERLEY GARDNER
FORT WORTH, TX
NPI
1275905820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP129382)
Enumeration Date
2015-10-22
Last Update Date
2015-11-03
Business Address
-- KIMBERLEY GARDNER Nurse Practitioner
3109 6TH AVE STE B
FORT WORTH, TX 76110-3800
Phone number: 682-312-7339
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Mailing Address
-- KIMBERLEY GARDNER Nurse Practitioner
1210 POWDER RIVER TRL
SOUTHLAKE, TX 76092
Phone number: 817-269-1169
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