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1346613213
LAKEISHA SHUNTE HENDERSON
GREENVILLE, SC
NPI
1346613213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19844)
Enumeration Date
2015-11-02
Last Update Date
2024-02-20
Business Address
LAKEISHA SHUNTE HENDERSON NP
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611-3838
Phone number: 864-614-7001
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Mailing Address
LAKEISHA SHUNTE HENDERSON NP
PO BOX 740013
ATLANTA, GA 30374-0013
Phone number: 312-733-9730
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