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Individual

DR. COURTNEY LYNETTE HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2900
Mailing address
5327 HIGH WHEELS CT, COLUMBIA, MD 21044-5719
(301) 596-3707

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101239024
VA

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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