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Individual

NANCY B HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5404
Mailing address
500 MAIN STREET, FORT COBB, OK 73038
(580) 678-9899

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99078
OK

Other

Enumeration date
07/05/2016
Last updated
09/21/2016
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