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1710089818
GENE R GARDNER
MOUNT VERNON, IL
NPI
1710089818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
GENE R GARDNER CRNA
605 N 12TH ST
MOUNT VERNON, IL 62864-2857
Phone number: 618-241-1108
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Mailing Address
GENE R GARDNER CRNA
4227 LINCOLNSHIRE DR
MOUNT VERNON, IL 62864-2157
Phone number: 618-242-2317
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