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1336131473
MARK A GARDNER
MARTINSBURG, WV
NPI
1336131473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0000X Podiatrist, Sports Medicine
(Licence: VA 0103000917)
Enumeration Date
2005-08-16
Last Update Date
2020-11-25
Business Address
MARK A GARDNER DPM
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-263-0811
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Mailing Address
MARK A GARDNER DPM
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-263-0811
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