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1114914967
HEATHER KILLAM
SURPRISE, AZ
NPI
1114914967
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Former Name
HEATHER ROSHETKO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RN115515)
Enumeration Date
2005-10-05
Last Update Date
2020-02-01
Business Address
HEATHER KILLAM NP
12361 W BOLA DR STE 109
SURPRISE, AZ 85378-9021
Phone number: 623-227-1000
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Mailing Address
HEATHER KILLAM NP
12361 W BOLA DR STE 109
SURPRISE, AZ 85378-9021
Phone number: 623-227-1000
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