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1396211645
LAKEYLA GARDNER
BERKELEY, CA
NPI
1396211645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95017057)
Enumeration Date
2018-10-14
Last Update Date
2022-10-12
Business Address
LAKEYLA GARDNER NP
837 ADDISON ST
BERKELEY, CA 94710-2047
Phone number: 510-981-4100
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Mailing Address
LAKEYLA GARDNER NP
PO BOX 11247
BERKELEY, CA 94712-2247
Phone number: 510-981-4100
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