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1700849544
KERRY LANE HENDERSHOT
LUBBOCK, TX
NPI
1700849544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K3586)
Enumeration Date
2006-04-11
Last Update Date
2008-09-16
Business Address
-- KERRY LANE HENDERSHOT MD
7601 QUAKER AVE
LUBBOCK, TX 79424
Phone number: 806-725-9653
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Mailing Address
-- KERRY LANE HENDERSHOT MD
3420 22ND PLACE
LUBBOCK, TX 79410
Phone number: 806-725-7800
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