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1902071632
PAUL WALTER HENDERSON
BOONEVILLE, MS
NPI
1902071632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: MS rcp2642)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
Mr. PAUL WALTER HENDERSON
100 HOSPITAL ST
BOONEVILLE, MS 38829-3354
Phone number: 662-720-5000
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Mailing Address
Mr. PAUL WALTER HENDERSON
195 COUNTY ROAD 1250
BOONEVILLE, MS 38829-7414
Phone number: 662-720-6370
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