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1518303296
LEAETTA MILDRED GARDNER
ROLLA, MO
NPI
1518303296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
Ms. LEAETTA MILDRED GARDNER LPN/Adm
13450 COUNTY ROAD 7040
ROLLA, MO 65401
Phone number: 573-341-8000
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Mailing Address
Ms. LEAETTA MILDRED GARDNER LPN/Adm
13450 COUNTY ROAD 7040
ROLLA, MO 65401
Phone number:
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