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1568204113
CARTER HENDERSON
TYLER, TX
NPI
1568204113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX 40425)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
CARTER HENDERSON
1301 CLINIC DR
TYLER, TX 75701-2120
Phone number: 903-592-8115
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Mailing Address
CARTER HENDERSON
1301 CLINIC DR
TYLER, TX 75701-2120
Phone number: 903-592-8115
Copy
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