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1275102386
COURTNEY WILLIS
NAMPA, ID
NPI
1275102386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5273)
Enumeration Date
2021-06-22
Last Update Date
2021-11-12
Business Address
COURTNEY WILLIS DMD
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 503-312-5055
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Mailing Address
COURTNEY WILLIS DMD
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-505-8586
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