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1114670965
KENDALL EILEEN HENERY
SALEM, OR
NPI
1114670965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
207Q00000X Family Medicine
(Licence: OR PA206842)
Enumeration Date
2022-02-01
Last Update Date
2022-04-06
Business Address
KENDALL EILEEN HENERY PA-C
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306-9490
Phone number: 503-391-1110
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Mailing Address
KENDALL EILEEN HENERY PA-C
1340 ELSER DR SE
SALEM, OR 97302-1861
Phone number: 503-559-3362
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