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1336486943
RUSSELL LOYD HENDERSON
BEND, OR
NPI
1336486943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201401588NP-PP)
Enumeration Date
2013-01-16
Last Update Date
2018-07-11
Business Address
Mr. RUSSELL LOYD HENDERSON FNP-BC
595 SW BLUFF DR STE A
BEND, OR 97702
Phone number: 541-728-2063
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Mailing Address
Mr. RUSSELL LOYD HENDERSON FNP-BC
PO BOX 70673
SPRINGFIELD, OR 97475-0133
Phone number: 541-248-9556
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