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1770121857
BREANNA CHANNEL HENDERSON
ORLANDO, FL
NPI
1770121857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
BREANNA CHANNEL HENDERSON
3305 S ORANGE AVE
ORLANDO, FL 32806-6125
Phone number: 407-852-3300
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Mailing Address
BREANNA CHANNEL HENDERSON
14150 ECON WOODS LN
ORLANDO, FL 32826-6417
Phone number: 407-219-8597
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