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1477542793
THEODORE JEFFERY HENNING
LITTLE ROCK, AR
NPI
1477542793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AR E0829)
Enumeration Date
2005-10-19
Last Update Date
2011-12-07
Business Address
-- THEODORE JEFFERY HENNING MD
500 S UNIVERSITY AVE SUITE 101
LITTLE ROCK, AR 72205-5302
Phone number: 501-664-3914
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Mailing Address
-- THEODORE JEFFERY HENNING MD
500 S UNIVERSITY AVE SUITE 600
LITTLE ROCK, AR 72205-5302
Phone number: 501-664-3914
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