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Individual
HEIDI JO HENDRICKSON
Active
Individual
HEIDI JO HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT5588
TX
Other
Enumeration date
06/28/2013
Last updated
06/29/2013
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