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Individual

DR. HEATHER NICHOLE FAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
(304) 429-0263
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
(304) 429-0263

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201001451
VA
231H00000X
Audiologist
Primary
A-0285
WV
237600000X
Audiologist-Hearing Aid Fitter
2201001451
VA

Other

Enumeration date
01/12/2011
Last updated
10/09/2015
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