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Individual
IAN PATRICK HEINLE
Active
Individual
IAN PATRICK HEINLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZGP831996400
BCBS TEXAS
TX
Enumeration date
07/07/2021
Last updated
07/07/2021
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