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1326582339
PAMELA HENDERSON
SEVIERVILLE, TN
NPI
1326582339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AK 117177)
Enumeration Date
2016-12-09
Last Update Date
2016-12-09
Business Address
-- PAMELA HENDERSON
4737 HENRY TOWN RD
SEVIERVILLE, TN 37876-6911
Phone number: 904-535-6485
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Mailing Address
-- PAMELA HENDERSON
4737 HENRY TOWN RD
SEVIERVILLE, TN 37876-6911
Phone number:
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