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Individual

MRS. JUSTINE MARIE HEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,BSN,CWOCN,CFCN

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4405
Mailing address
462 MILL CREEK RD, KINGSPORT, TN 37664-5802
(423) 863-3805

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN0000054163
TN

Other

Enumeration date
12/13/2009
Last updated
12/13/2009
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