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Individual

DENNIS HEAVNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HAD

Contact information

Practice address
1454 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 988-9818
(505) 988-2387
Mailing address
8800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-5738
(281) 286-2999
(512) 607-4893

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
NM
237700000X
Hearing Instrument Specialist
Primary
0623
NM

Other

Enumeration date
05/27/2011
Last updated
01/15/2018
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