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1700665536
CHARLES HENDERSON
UPLAND, CA
NPI
1700665536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA63215)
Enumeration Date
2023-09-21
Last Update Date
2024-01-12
Business Address
CHARLES HENDERSON PA-C
1230 E ARROW HWY
UPLAND, CA 91786-4910
Phone number: 626-807-8545
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Mailing Address
CHARLES HENDERSON PA-C
377 E ALTADENA DR
ALTADENA, CA 91001-2240
Phone number:
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