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Individual
DR. HEATHER NICHOLE FAGAN
Active
Individual
DR. HEATHER NICHOLE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201001451
VA
231H00000X
Audiologist
Primary
A-0285
WV
237600000X
Audiologist-Hearing Aid Fitter
2201001451
VA
Other
Enumeration date
01/12/2011
Last updated
10/09/2015
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