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Individual

HEATHER CAROLYNE EASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
(505) 486-2428
Mailing address
2341 E 16TH ST, FARMINGTON, NM 87401-7524
(505) 486-2428

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4183
NM

Other

Enumeration date
08/17/2021
Last updated
08/17/2021
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