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Individual
MRS. LYNN ELLEN HENDERSON
Active
Individual
MRS. LYNN ELLEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
AP5555
AZ
363LA2200X
Adult Health Nurse Practitioner
71001704
IN
Other
Enumeration date
01/02/2007
Last updated
02/01/2019
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