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Henry
Henry
Mainor
Osteopathic physician
Palm Harbor, United States
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Florida Health Care Practitioner Data Portal
Full name
HENRY MAINOR
Job Title
Osteopathic Physician
Location
Palm Harbor, FL, USA
Title
III
LIC ID
13081
Current License Expiration Date
31/03/2024
Original Date
18/06/2015
Professional Rank Code
OS
Effective Date
18/06/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PINELLAS
Practice Location Address Line 1
10000 Bay Pines Blvd
Practice Location Address City
BAY PINES
Practice Location Address State
FL
Practice Location Address Zipcode
33744
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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