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1609100635
CHANDRA DENISE HEAVEN
FAYETTEVILLE, NC
NPI
1609100635
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Former Name
CHANDRA DENISE HEAVEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 11369)
Enumeration Date
2009-09-23
Last Update Date
2016-08-17
Business Address
-- CHANDRA DENISE HEAVEN LPT
1700 PAMALEE DR HIGHLAND HOUSE SNF
FAYETTEVILLE, NC 28301-1700
Phone number: 910-488-2295
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Mailing Address
-- CHANDRA DENISE HEAVEN LPT
3608 CHAGFORD LN
FAYETTEVILLE, NC 28306-4619
Phone number: 301-437-0444
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