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1063065605
COURTNEY LYNNE MANDEVILLE
CHAPEL HILL, NC
NPI
1063065605
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Former Name
COURTNEY LYNNE CANNON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-23
Last Update Date
2021-03-30
Business Address
COURTNEY LYNNE MANDEVILLE PA-C
101 MANNING DR
CHAPEL HILL, NC 27514-4220
Phone number: 984-974-4721
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Mailing Address
COURTNEY LYNNE MANDEVILLE PA-C
6600 MANOR HILL CT
CHAPEL HILL, NC 27516-8135
Phone number: 704-649-7313
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