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1891990024
ELAINE M GARDNER
FORT WORTH, TX
NPI
1891990024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: TX 583572)
Enumeration Date
2007-06-18
Last Update Date
2021-05-13
Business Address
ELAINE M GARDNER PNP
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-7942
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Mailing Address
ELAINE M GARDNER PNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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