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Dr. Heather Therapy, LLC Registration Form 3325 DurhamChapel Hill Blvd, Suite 220, Durham, NC 27707 9192289227 www.DrHeatherTherapy.com Clients Full Name (Last, first, middle): Clients home address:
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Heaformr Formrapy PLLC is a type of legal entity that provides professional healthcare services.
Healthcare professionals such as doctors, therapists, and counselors are required to file Heaformr Formrapy PLLC.
Heaformr Formrapy PLLC can be filled out online or by using paper forms provided by the relevant regulatory agency.
The purpose of Heaformr Formrapy PLLC is to report important information about the healthcare services provided by a professional entity.
Information such as the type of healthcare services provided, revenue generated, and number of patients served must be reported on Heaformr Formrapy PLLC.
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