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Mary Carole Gardner

Licensed Practical Nurse in Goldsboro, NC. Individual provider (NPI-1).

NPI number1235898685
StatusActive
Last updated in NPPESDec 14, 2021

Details

NPI
1235898685
Entity type
Individual (NPI-1)
Name
Mary Carole Gardner
Sex
Female
Sole proprietor
No
Enumeration date
Dec 14, 2021
Certification date
Dec 14, 2021
Last updated
Dec 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse87493NCYes

Practice location

1700 E Ash St Ste 201
Goldsboro, NC 27530-4097

Phone 919-583-9329

Mailing address

1700 E Ash St Ste 201
Goldsboro, NC 27530-4097

Phone 919-583-9329

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