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Individual

HEATHER DAWN HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
135 NW 8TH ST, PRINEVILLE, OR 97754-1101
(541) 447-9935
Mailing address
PO BOX 928, PRINEVILLE, OR 97754-0928
(541) 447-7950

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7759
OR

Other

Enumeration date
07/11/2008
Last updated
07/11/2008
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