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1396253241
JULIE GARDNER
JACKSON, MS
NPI
1396253241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902476)
Enumeration Date
2018-01-12
Last Update Date
2018-01-12
Business Address
JULIE GARDNER FNP
971 LAKELAND DR STE 1460
JACKSON, MS 39216-4621
Phone number: 601-982-3202
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Mailing Address
JULIE GARDNER FNP
104 GRANFIELD CT
CANTON, MS 39046-5523
Phone number: 601-278-1535
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