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1700608528
JOHNETTA HENINGBURG
MOBILE, AL
NPI
1700608528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
JOHNETTA HENINGBURG
5307 FOREST OAKS DR S
MOBILE, AL 36618-2415
Phone number: 251-753-4760
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Mailing Address
JOHNETTA HENINGBURG
5307 FOREST OAKS DR S
MOBILE, AL 36618-2415
Phone number: 251-753-4760
Copy
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