ALAN J GARDNER

DECATUR, IL
NPI1942424593
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043-062207)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- ALAN J GARDNER
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Mailing Address
-- ALAN J GARDNER
PO BOX 710
DECATUR, IL 62525-0710
Phone number: 217-362-6262
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