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1548789688
TARA ANN HENDERSON
EDMOND, OK
NPI
1548789688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 123087)
Enumeration Date
2017-09-10
Last Update Date
2017-09-10
Business Address
TARA ANN HENDERSON APRN, NP-C
1575 N SANTA FE AVE
EDMOND, OK 73003-3638
Phone number: 405-285-0660
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Mailing Address
TARA ANN HENDERSON APRN, NP-C
5416 PIEDMONT RD N
PIEDMONT, OK 73078-9177
Phone number: 405-368-4506
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