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1700340320
COURTNEY M SUMNERS
BRIDGETON, MO
NPI
1700340320
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Former Name
COURTNEY M SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2019002749)
Enumeration Date
2019-01-28
Last Update Date
2022-03-02
Business Address
COURTNEY M SUMNERS PA
12266 DE PAUL DR STE 205
BRIDGETON, MO 63044-2514
Phone number: 314-218-2300
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Mailing Address
COURTNEY M SUMNERS PA
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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