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1104688084
COURTNEY BREANNE WEATHERFORD
SPRINGFIELD, MO
NPI
1104688084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2024003138)
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
COURTNEY BREANNE WEATHERFORD PA-C
2115 S FREMONT AVE STE 2300
SPRINGFIELD, MO 65804-2233
Phone number: 417-820-5600
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Mailing Address
COURTNEY BREANNE WEATHERFORD PA-C
8600 OAKLAWN DR
WILLARD, MO 65781-9103
Phone number: 417-616-4479
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