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1588155006
COURTNIE CLARK GRAVES
ALEXANDRIA, LA
NPI
1588155006
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Former Name
COURTNIE CLAIRE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
242T00000X Perfusionist
(Licence: LA PEF.200085)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
COURTNIE CLARK GRAVES CCP
3311 PRESCOTT RD STE 202
ALEXANDRIA, LA 71301-3983
Phone number: 318-442-0106
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Mailing Address
COURTNIE CLARK GRAVES CCP
3311 PRESCOTT RD STE 202
ALEXANDRIA, LA 71301-3983
Phone number: 318-442-0106
Copy
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