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Individual

MISS HEATHER MARIE ROLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12568 DUTCH CROSS RD, CROTON, OH 43013-9795
(614) 562-1068
Mailing address
12568 DUTCH CROSS RD, CROTON, OH 43013-9795
(614) 562-1068

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN367776
OH
164W00000X
Licensed Practical Nurse
Primary
PN120321
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2885963
OH
Enumeration date
01/18/2009
Last updated
02/18/2011
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