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1689142267
COURTNEY DIMITRIS
TUSCALOOSA, AL
NPI
1689142267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7994)
Enumeration Date
2018-11-13
Last Update Date
2019-11-13
Business Address
COURTNEY DIMITRIS
600 13TH ST E APT 641
TUSCALOOSA, AL 35401-3396
Phone number: 630-962-9770
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Mailing Address
COURTNEY DIMITRIS
2100 S NEW RD APT 332
WACO, TX 76711-1816
Phone number: 630-962-9770
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