Individual
DAWN RAE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R,N
Contact information
Practice address
29 BLACK COAL DR, FORT WASHAKIE, WY 82514-0000
(307) 840-2537
(307) 332-0131
Mailing address
PO BOX 1275, FORT WASHAKIE, WY 82514-1275
(307) 840-2537
(307) 332-0131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19363
WY
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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