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Individual
MRS. VALANCIA HENDERSON
Active
Individual
MRS. VALANCIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017030457
MO
390200000X
Student in an Organized Health Care Education/Training Program
135697
MO
Other
Enumeration date
09/17/2016
Last updated
08/31/2017
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