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Individual

MS. PAMELA JEAN GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 W UNIVERSITY DR, MESA, AZ 85201-5818
(480) 668-1917
Mailing address
527 W RACINE LOOP, CASA GRANDE, AZ 85122-5107
(520) 450-3472

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9128
AZ

Other

Enumeration date
10/22/2014
Last updated
10/22/2014
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