Heather Nicole Dezarn

NPI 1326248964 - Contractor - 171W00000X

NPI Details
NPI 1326248964
Gender Female
Enumeration Date 07/23/2007
Last Updated 07/23/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3538 GREENTREE RD
LEXINGTON KY, 40517-3115, US
Phone (859) 475-3580
Fax
Business Location
3538 GREENTREE RD
LEXINGTON KY, 40517-3115, US
Phone (859) 475-3580
Fax
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Mrs. Heather Nicole Dezarn NPI is 1326248964, taxonomy code is 171W00000X Heather Nicole Dezarn physically located at 3538 Greentree Rd, Lexington KY, 40517-3115. NPI Number Heather Nicole Dezarn has the Individual type.

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1326248964 NPI number is provided on an as is basis without warranty of any kind. 1326248964 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Nicole Dezarn are for informational purposes only.