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1821687047
COURTNEY TA
ANAHEIM, CA
NPI
1821687047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-01-12
Last Update Date
2022-05-21
Business Address
COURTNEY TA
3400 W BALL RD STE 104
ANAHEIM, CA 92804-3735
Phone number: 949-432-9989
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Mailing Address
COURTNEY TA
3151 AIRWAY AVE STE T3
COSTA MESA, CA 92626-4627
Phone number:
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