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Individual

MARIE ANTOINETTE HENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
27 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
Mailing address
902 N 27TH ST, VAN BUREN, AR 72956-3844

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L032488
AR

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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