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1700024460
LUCRESIA GARDNER
FT CAMPBELL, KY
NPI
1700024460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 0000067842)
Enumeration Date
2009-02-03
Last Update Date
2009-02-03
Business Address
-- LUCRESIA GARDNER
650 JOEL DR
FT CAMPBELL, KY 42223
Phone number: 270-798-8981
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Mailing Address
-- LUCRESIA GARDNER
650 JOEL DR
FT CAMPBELL, KY 42223
Phone number:
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