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1275521452
VINCENT CHARLES HENDERSON
SOUTH BEND, IN
NPI
1275521452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01033656A)
Enumeration Date
2005-10-11
Last Update Date
2016-03-17
Business Address
Dr. VINCENT CHARLES HENDERSON M.D.
3575 PORTAGE RD
SOUTH BEND, IN 46628-6092
Phone number: 574-647-4530
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Mailing Address
Dr. VINCENT CHARLES HENDERSON M.D.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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