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1578624573
DONALD WADE HENDERSON
SPRINGFIELD, IL
NPI
1578624573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-009151)
Enumeration Date
2006-12-13
Last Update Date
2019-10-23
Business Address
DONALD WADE HENDERSON OD
2709 S KOBE MILL ED
SPRINGFIELD, IL 62711
Phone number: 217-698-9477
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Mailing Address
DONALD WADE HENDERSON OD
2709 S KOBE MILL ED
SPRINGFIELD, IL 62711
Phone number: 217-698-9477
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