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Individual
MR. HEATH CLEVINGER
Active
Individual
MR. HEATH CLEVINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024177296
VA
363L00000X
Nurse Practitioner
Primary
0024177296
WV
363LF0000X
Family Nurse Practitioner
00241177296
VA
Other
Enumeration date
02/25/2019
Last updated
02/07/2024
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