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Individual
BILLY HECKLE
Active
Individual
BILLY HECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11121210
SC
1835P1200X
Pharmacotherapy Pharmacist
4510
SC
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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