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Randall Henderson
Private Vehicle in Bargersville, Indiana
NPI 1851768972

Randall Henderson is a Private Vehicle based in Bargersville, IN. Randall Henderson practices in Bargersville, IN. The NPI Number for Randall Henderson is 1851768972 and holds a License No. (Indiana).

The current practice location address for Randall Henderson is 5508 Washington Ave, Bargersville, IN and can be reached out via phone at 317-442-1455.

Location: 5508 Washington Ave, Bargersville, IN, 46106-8538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851768972
Provider Name
Randall Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5508 Washington Ave, Bargersville, IN, 46106-8538
Phone Number
317-442-1455
Fax Number
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5508 Washington Ave
City
Bargersville
State
Indiana
Zip
46106-8538
Phone Number
317-442-1455
Fax Number
person
Provider Business Mailing Address Details
Address
5508 Washington Ave
City
Bargersville
State
Indiana
Zip
46106-8538
Phone Number
317-442-1455
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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