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1518239078
CORTNEY LEE SPRAKER
SANTA MONICA, CA
NPI
1518239078
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Professional Name
CORTNEY LEE GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA 20680)
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
-- CORTNEY LEE SPRAKER MS, PA-C
1301 20TH ST STE 440
SANTA MONICA, CA 90404-2109
Phone number: 310-208-0474
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Mailing Address
-- CORTNEY LEE SPRAKER MS, PA-C
34467 VIA VERDE
CAPISTRANO BEACH, CA 92624-1238
Phone number: 949-233-4763
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