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Individual

JENNIE NGUYEN GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 MURRELL TAYLOR DR, JACKSONVILLE, AR 72076-8118
(501) 985-1581
Mailing address
11812 PLEASANT FOREST DR, LITTLE ROCK, AR 72212-2454
(501) 765-8360

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P9199
AR

Other

Enumeration date
12/09/2017
Last updated
12/09/2017
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