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1306165758
HEATHER RENAE MCCULLUM
LOUISVILLE, KY
NPI
1306165758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: KY 1018)
Enumeration Date
2010-05-25
Last Update Date
2018-03-25
Business Address
Dr. HEATHER RENAE MCCULLUM DMD
3827 TAYLORSVILLE RD
LOUISVILLE, KY 40220-1345
Phone number: 502-451-7803
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Mailing Address
Dr. HEATHER RENAE MCCULLUM DMD
4516 OUTER LOOP
LOUISVILLE, KY 40219-3857
Phone number: 502-964-9094
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