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Individual
DR. TARA LYNN GARDNER
Active
Individual
DR. TARA LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1598
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148126718
—
AR
Enumeration date
04/03/2006
Last updated
01/28/2011
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