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1417507435
SUSAN L HENSON
JACKSON, TN
NPI
1417507435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25875)
Enumeration Date
2019-09-12
Last Update Date
2022-12-12
Business Address
SUSAN L HENSON
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-422-0213
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Mailing Address
SUSAN L HENSON
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-422-0213
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