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1033185806
DOUGLAS HENRY
FORT CAMPBELL, KY
NPI
1033185806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: TN TN10646)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS HENRY
605 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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Mailing Address
Mr. DOUGLAS HENRY
605 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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