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1659979516
JENNIFER ANNE GARDNER
TWIN FALLS, ID
NPI
1659979516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 65975)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
JENNIFER ANNE GARDNER
1385 PARK VIEW DR STE 101
TWIN FALLS, ID 83301-4390
Phone number: 208-944-0497
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Mailing Address
JENNIFER ANNE GARDNER
160 7TH AVE N
TWIN FALLS, ID 83301-6145
Phone number: 208-420-8387
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