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1326691957
KOURTNEY MARIE WILLETT
DALLAS, TX
NPI
1326691957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA12883)
Enumeration Date
2019-07-23
Last Update Date
2019-09-24
Business Address
KOURTNEY MARIE WILLETT PA-C
1411 N BECKLEY AVE PAV 3 SUITE 363
DALLAS, TX 75203-1259
Phone number: 214-946-3687
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Mailing Address
KOURTNEY MARIE WILLETT PA-C
5920 E UNIVERSITY BLVD APT 5110
DALLAS, TX 75206-4990
Phone number: 713-582-9099
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