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1871047399
LORI HENDERSON
WAYCROSS, GA
NPI
1871047399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 133742)
Enumeration Date
2016-08-12
Last Update Date
2019-03-27
Business Address
LORI HENDERSON NP-C
624 TEBEAU ST
WAYCROSS, GA 31501-4728
Phone number: 912-809-6052
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Mailing Address
LORI HENDERSON NP-C
624 TEBEAU ST
WAYCROSS, GA 31501-4728
Phone number: 912-809-6052
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