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1184962243
CAROLGENE MARIE HENISA
LOGANSPORT, IN
NPI
1184962243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-01-24
Last Update Date
2013-01-24
Business Address
-- CAROLGENE MARIE HENISA MS
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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Mailing Address
-- CAROLGENE MARIE HENISA MS
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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