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1730799800
LATEASHA LAKIRA HENDERSON
GREENVILLE, SC
NPI
1730799800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24224)
Enumeration Date
2020-08-04
Last Update Date
2021-09-13
Business Address
Mrs. LATEASHA LAKIRA HENDERSON FNP
3901 PELHAM RD
GREENVILLE, SC 29615-5004
Phone number: 864-288-3672
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Mailing Address
Mrs. LATEASHA LAKIRA HENDERSON FNP
3901 PELHAM RD
GREENVILLE, SC 29615-5004
Phone number: 864-288-3672
Copy
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