WILLIE FAYE HENDERSON

SPRINGFIELD, OR
NPI1154686830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  6560)
Enumeration Date2012-07-09
Last Update Date2012-07-09
Business Address
-- WILLIE FAYE HENDERSON
2073 OLYMPIC ST SUITE 301
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
Mailing Address
-- WILLIE FAYE HENDERSON
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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