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1376192823
JACKIE D HENDERSON
DALLAS, TX
NPI
1376192823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
Enumeration Date
2019-09-07
Last Update Date
2019-09-07
Business Address
Ms. JACKIE D HENDERSON
7041 HEDGEBROOK DR
DALLAS, TX 75249
Phone number: 972-822-8115
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Mailing Address
Ms. JACKIE D HENDERSON
7041 HEDGEBROOK DR
DALLAS, TX 75249
Phone number: 972-822-8115
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