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Individual

MRS. HEATHER SUSANNE BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
607 CLIFTY ST, SOMERSET, KY 42503-1765
(606) 485-4730
Mailing address
150 HILLRISE DR, SCIENCE HILL, KY 42553-8401
(606) 875-9935

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2044895
KY

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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