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Individual

ROCHELLE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RRT, AE-C

Contact information

Practice address
29 NW 1ST LANE, LAMAR, MO 64759
(417) 681-5196
(417) 681-5696
Mailing address
29 NW 1ST LANE, LAMAR, MO 64759
(417) 681-5196
(417) 681-5696

Taxonomy

Speciality
Code
Description
License number
State
2279E1000X
Educational Registered Respiratory Therapist
Primary
2006013900
MO
2279G1100X
General Care Registered Respiratory Therapist
2006013900
MO

Other

Enumeration date
04/03/2017
Last updated
04/03/2017
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