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1558623439
KELLY MARTIN GARDNER
SHREVEPORT, LA
NPI
1558623439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN089405)
Enumeration Date
2012-06-15
Last Update Date
2012-06-15
Business Address
-- KELLY MARTIN GARDNER R.N
1035 CRESWELL AVE
SHREVEPORT, LA 71101-3917
Phone number: 318-676-5623
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Mailing Address
-- KELLY MARTIN GARDNER R.N
8200 MAURICE ST
SHREVEPORT, LA 71107-9649
Phone number: 318-309-3917
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