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Individual

CHARLEEN K HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7742 S 155TH AVE, OMAHA, NE 68138-7469
(402) 201-4929
(402) 201-4929
Mailing address
7742 S 155TH AVE, OMAHA, NE 68138-7469
(402) 201-4929
(402) 201-4929

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/26/2025
Last updated
02/26/2025
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