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1528418506
CASEY GARDNER
FORT CAMPBELL, KY
NPI
1528418506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: KY 4531)
Enumeration Date
2016-06-21
Last Update Date
2022-06-07
Business Address
CASEY GARDNER RDH
3603 INDIANA AVE
FORT CAMPBELL, KY 42223-5803
Phone number: 270-798-3544
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Mailing Address
CASEY GARDNER RDH
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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