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1376072868
HEIDI ROACH
DURHAM, NC
NPI
1376072868
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Former Name
HEIDI BRIGHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-08
Last Update Date
2017-06-08
Business Address
Mrs. HEIDI ROACH ATC
3475 ERWIN RD
DURHAM, NC 27705-0005
Phone number: 919-684-0493
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Mailing Address
Mrs. HEIDI ROACH ATC
11217 N RADNER WAY
RALEIGH, NC 27613-5531
Phone number: 860-625-7492
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