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Individual
TERRY JON HENRY
Active
Individual
TERRY JON HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD469645
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD469645
PA
Other
Enumeration date
05/28/2014
Last updated
06/27/2023
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