Individual
MRS. MARY JANE GARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
10438 744 RD, BERTRAND, NE 68927-3561
(308) 472-5144
Mailing address
10438 744 RD, BERTRAND, NE 68927-3561
(308) 472-5144
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10842
NE
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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