PHILIP EDWARD GARDNER

IDAHO FALLS, ID
NPI1538467345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2011-03-02
Last Update Date2011-03-02
Business Address
-- PHILIP EDWARD GARDNER BS
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-524-1278
Mailing Address
-- PHILIP EDWARD GARDNER BS
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-524-1278
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