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1144505629
ANGEL HENDERSON
BEREA, KY
NPI
1144505629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3007146)
Enumeration Date
2011-10-17
Last Update Date
2020-12-04
Business Address
ANGEL HENDERSON APRN
120 JILL DR
BEREA, KY 40403-1677
Phone number: 859-985-7195
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Mailing Address
ANGEL HENDERSON APRN
4071 TATES CREEK CENTRE DR SUITE 202
LEXINGTON, KY 40517-3062
Phone number: 859-260-4385
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