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Heather Mains

NPI Registration Record

Provider / OrganizationNPIDate Certified
HEATHER MAINS19620001332020-10-11
Entity TypeIndividual
Provider Name Heather Mains NURSE PRACTITIONER
Practice Office Address1480 CARTER AVE
ASHLAND, KY US
Practice Office Telephone6063291890
Mailing Address1480 CARTER AVE
ASHLAND, KY 411017546 US
HPT Codes
CodeLicense NoState
363LF0000X PRIMARY0027577 OH
OPI Codes

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