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1386717999
HEATHER DANIELLE BALENTINE
DECATUR, AL
NPI
1386717999
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Former Name
HEATHER DANIELLE GOODWIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-100029)
Enumeration Date
2006-11-15
Last Update Date
2012-06-11
Business Address
Mrs. HEATHER DANIELLE BALENTINE CRNP
68 MARCO DR
DECATUR, AL 35603-5425
Phone number: 256-686-0023
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Mailing Address
Mrs. HEATHER DANIELLE BALENTINE CRNP
68 MARCO DR
DECATUR, AL 35603-5425
Phone number: 256-686-0023
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