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1831730068
MARIE HENDERSON
TIGARD, OR
NPI
1831730068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-29
Last Update Date
2019-09-29
Business Address
MARIE HENDERSON
12495 SW 112TH AVE
TIGARD, OR 97223-4002
Phone number: 971-645-3612
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Mailing Address
MARIE HENDERSON
12495 SW 112TH AVE
TIGARD, OR 97223-4002
Phone number:
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