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Individual

LARRY DEAN HENDERSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3610 BUCKSKIN LOOP NE, RIO RANCHO, NM 87144-1423
(312) 383-3786
Mailing address
3610 BUCKSKIN LOOP NE, RIO RANCHO, NM 87144-1423
(312) 383-3786

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/08/2025
Last updated
04/08/2025
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