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1356361422
HAROLD LENARD HENDERSON
KISSIMMEE, FL
NPI
1356361422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 1597)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Mr. HAROLD LENARD HENDERSON ATC/LAT
93 PANTHER PAWS TRL
KISSIMMEE, FL 34744-4407
Phone number: 407-935-3600
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Mailing Address
Mr. HAROLD LENARD HENDERSON ATC/LAT
302 OAK BLVD
WILDWOOD, FL 34785-9223
Phone number: 352-748-4655
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