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1346092624
NATHAN GARDNER
NAMPA, ID
NPI
1346092624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5624)
Enumeration Date
2024-04-02
Last Update Date
2024-05-30
Business Address
NATHAN GARDNER
2065 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-466-3239
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Mailing Address
NATHAN GARDNER
136 ARBOR CT
OMAHA, NE 68108-1725
Phone number: 208-501-3901
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