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Individual

JULIE HENDERSHOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4614 W PALO VERDE DR, GLENDALE, AZ 85301-6249
(480) 524-3422
Mailing address
24232 N 80TH LN, PEORIA, AZ 85383-1020
(480) 524-3422

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN153739
AZ

Other

Enumeration date
03/02/2015
Last updated
05/12/2016
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