Individual
MISS GLYNIS CONCHITA HAUSER-HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
LAPOINTE HEALTH CLINIC, BLDG 5979 DESERT STORM AVE, FT CAMPBELL, KY 42223-5349
(270) 956-0301
(270) 956-0091
Mailing address
LAPOINTE HEALTH CLINIC, BLDG 5979 DESERT STORM AVE, FT CAMPBELL, KY 42223-5349
(270) 956-0301
(270) 956-0091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65817
TN
Other
Enumeration date
05/04/2006
Last updated
01/08/2009
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