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1881668754
LEANNE S HENDERSON
TEMPLE TERRACE, FL
NPI
1881668754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9103592)
Enumeration Date
2006-02-15
Last Update Date
2010-12-13
Business Address
-- LEANNE S HENDERSON PA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
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Mailing Address
-- LEANNE S HENDERSON PA
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637-0925
Phone number: 813-978-9700
Copy
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