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Individual

ANGELIA D HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 S. 135TH AVE, OMAHA, NE 68144
(402) 333-2304
(402) 333-1269
Mailing address
5708 N 167TH AVE CIRCLE, OMAHA, NE 68116
(402) 681-9469

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
324
NE

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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