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1083116040
COURTNEY DAVILA
RIVERHEAD, NY
NPI
1083116040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342365)
Enumeration Date
2018-03-06
Last Update Date
2023-12-28
Business Address
Mrs. COURTNEY DAVILA NP
951 ROANOKE AVE
RIVERHEAD, NY 11901-2724
Phone number: 631-727-7773
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Mailing Address
Mrs. COURTNEY DAVILA NP
951 ROANOKE AVE
RIVERHEAD, NY 11901-2724
Phone number: 631-727-7773
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