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NPI Profile for JUSTIN GARDNER in MELISSA, TX.
Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Biomedical Engineering Technician |
2472B0301X | 75 | Slide Preparation Facility |
| NPI # | 1225638919 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/30/2020 | |
| Last updated | 10/30/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JUSTIN GARDNER