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1396235107
COURTNEY JANE PROUTY
POMONA, CA
NPI
1396235107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
COURTNEY JANE PROUTY
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-469-5395
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Mailing Address
COURTNEY JANE PROUTY
309 E 2ND ST
POMONA, CA 91766-1854
Phone number:
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