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1205239175
VIVIAN LYNN HENDERSON
TUBA CITY, AZ
NPI
1205239175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: KS 777218)
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
Ms. VIVIAN LYNN HENDERSON Certified Medical As
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
Ms. VIVIAN LYNN HENDERSON Certified Medical As
PO BOX 600 PFS BUSINESS OFFICE
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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