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1891238044
HEIDI MCDONOUGH
MECHANICSVILLE, VA
NPI
1891238044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024174262)
Enumeration Date
2016-11-21
Last Update Date
2018-10-05
Business Address
HEIDI MCDONOUGH FNP-C
8400 N RUN MEDICAL DR STE 200
MECHANICSVILLE, VA 23116-2319
Phone number: 804-559-6980
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Mailing Address
HEIDI MCDONOUGH FNP-C
PO BOX 71122
CHARLOTTE, NC 28272-1122
Phone number: 804-559-6980
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