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1538874995
COURTNIE LY
ORANGE, CA
NPI
1538874995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 62218)
Enumeration Date
2023-01-19
Last Update Date
2023-02-26
Business Address
COURTNIE LY
1010 W LA VETA AVE STE 610
ORANGE, CA 92868-4306
Phone number: 714-285-2311
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Mailing Address
COURTNIE LY
1010 W LA VETA AVE STE 610
ORANGE, CA 92868-4306
Phone number: 714-285-2311
Copy
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