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MRS. KASI MARQUETTE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, CNP

Contact information

Practice address
2615 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 390-0005
Mailing address
30 WARDER ST, SPRINGFIELD, OH 45504-2500
(937) 328-2310

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0029610
OH

Other

Enumeration date
08/08/2011
Last updated
08/06/2025
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