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1437590437
COURTNEY C GRODIE
BRIDGETON, MO
NPI
1437590437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2013016467)
Enumeration Date
2013-07-08
Last Update Date
2020-10-22
Business Address
COURTNEY C GRODIE PA
12349 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-291-7900
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Mailing Address
COURTNEY C GRODIE PA
PO BOX 955534
SAINT LOUIS, MO 63195-0001
Phone number:
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