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1871192856
THEADORE JOSEPH HENLEY
REEDER, ND
NPI
1871192856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
THEADORE JOSEPH HENLEY QSP
604 2ND ST
REEDER, ND 58649-4939
Phone number: 701-498-0731
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Mailing Address
THEADORE JOSEPH HENLEY QSP
604 2ND ST
REEDER, ND 58649-4939
Phone number: 701-498-0731
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