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1821542747
HEATHER RENAE ROTH
ASHLAND, KY
NPI
1821542747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3010367)
Enumeration Date
2016-08-09
Last Update Date
2022-03-03
Business Address
HEATHER RENAE ROTH APRN
613 23RD ST STE 230
ASHLAND, KY 41101-2868
Phone number: 606-324-4745
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Mailing Address
HEATHER RENAE ROTH APRN
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number: 606-408-6200
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