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1366482358
JACQUELINE HENDERSON
MICHIGAN CITY, IN
NPI
1366482358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: IN 01059200A)
Enumeration Date
2006-06-07
Last Update Date
2008-06-04
Business Address
-- JACQUELINE HENDERSON MD
301 W HOMER ST
MICHIGAN CITY, IN 46360-4358
Phone number: 219-879-8511
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Mailing Address
-- JACQUELINE HENDERSON MD
2000 GREEN RD SUITE 300
ANN ARBOR, MI 48105-1598
Phone number: 734-995-3764
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