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1902279128
KASSONDRA HENDERSON
BLACKLICK, OH
NPI
1902279128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN.157445-M-IV)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- KASSONDRA HENDERSON
7311 KIRKDALE DR
BLACKLICK, OH 43004-9370
Phone number: 614-962-9696
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Mailing Address
-- KASSONDRA HENDERSON
7311 KIRKDALE DR
BLACKLICK, OH 43004-9370
Phone number: 614-962-9696
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