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1194567594
MARQUITA HENSON
GARY, IN
NPI
1194567594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209029666)
Enumeration Date
2024-06-07
Last Update Date
2024-12-31
Business Address
MARQUITA HENSON PMHNP-BC
2200 GRANT ST
GARY, IN 46404-3439
Phone number: 219-763-8112
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Mailing Address
MARQUITA HENSON PMHNP-BC
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number:
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