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1326102898
MARY LOU HENDERSON
HUNTINGTON, WV
NPI
1326102898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 143)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- MARY LOU HENDERSON
6900 WEST COUNTRY CLUB DRIVE
HUNTINGTON, WV 25705
Phone number: 304-733-1060
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Mailing Address
-- MARY LOU HENDERSON
1020 BEECH ST
KENOVA, WV 25530-1417
Phone number: 304-453-1523
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