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1508199365
JUSTIN ERIC HENDERSON
HONOLULU, HI
NPI
1508199365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: HI 1338)
Enumeration Date
2009-09-11
Last Update Date
2014-07-30
Business Address
Mr. JUSTIN ERIC HENDERSON APRN
619 KAPAHULU AVE PH
HONOLULU, HI 96815-3853
Phone number: 808-561-5424
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Mailing Address
Mr. JUSTIN ERIC HENDERSON APRN
2916 DATE ST 20C
HONOLULU, HI 96816-1184
Phone number: 808-561-5424
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