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Individual

MRS. DEBORAH K HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
4257 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-3940
(208) 237-9257
Mailing address
4257 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2419
(208) 237-3940
(208) 237-9257

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4706
ID

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
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