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1063947687
COURTNEY M MARRA
MASONIC HOME, KY
NPI
1063947687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 173199)
Enumeration Date
2017-04-21
Last Update Date
2022-07-20
Business Address
COURTNEY M MARRA
3761 JOHNSON HALL DR
MASONIC HOME, KY 40041-9998
Phone number: 502-633-1007
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Mailing Address
COURTNEY M MARRA
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007
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