COURTNEY J HARRIS

O FALLON, IL
NPI1235764218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209.020870)
Enumeration Date2020-03-10
Last Update Date2020-04-17
Business Address
COURTNEY J HARRIS CRNA
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269-1099
Phone number: 618-234-2120
Mailing Address
COURTNEY J HARRIS CRNA
319 N OAKCREST AVE
DECATUR, IL 62522-1812
Phone number: 314-616-5191
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