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1669537528
RICHARD HENDERSON
ELIZABETHTOWN, KY
NPI
1669537528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KY 1217DT)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
-- RICHARD HENDERSON OD
1609 N DIXIE HWY
ELIZABETHTOWN, KY 42701-6473
Phone number: 270-765-7372
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Mailing Address
-- RICHARD HENDERSON OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6663
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