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Individual

MAURICE HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1880 OFFICE CLUB PT STE 301, COLORADO SPRINGS, CO 80920-5020
(719) 212-1336
Mailing address
5895 WALSH PT APT 205, COLORADO SPRINGS, CO 80919-2043
(719) 370-2886

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0026079
CO

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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