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1902929466
CUBBY L GARDNER
LANGLEY AFB, VA
NPI
1902929466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 618132)
Enumeration Date
2007-04-09
Last Update Date
2010-07-24
Business Address
Mr. CUBBY L GARDNER FNP-C
74 NEALY AVE
LANGLEY AFB, VA 23665-2020
Phone number: 940-349-2917
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Mailing Address
Mr. CUBBY L GARDNER FNP-C
196 SWEENEY BLVD
HAMPTON, VA 23665-2206
Phone number: 940-231-3476
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