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1831584440
KATIE HENRICKS
OPELIKA, AL
NPI
1831584440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL S10761)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- KATIE HENRICKS
902 FLORAL ST
OPELIKA, AL 36801-3820
Phone number: 334-559-1327
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Mailing Address
-- KATIE HENRICKS
902 FLORAL ST
OPELIKA, AL 36801-3820
Phone number:
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