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1902900376
COURTNEY J SMITH
EAGAN, MN
NPI
1902900376
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Former Name
COURTNEY BULL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 10170)
Enumeration Date
2006-09-07
Last Update Date
2020-02-28
Business Address
COURTNEY J SMITH PAC
1885 PLAZA DR
EAGAN, MN 55122-2979
Phone number: 952-993-4069
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Mailing Address
COURTNEY J SMITH PAC
1885 PLAZA DR
EAGAN, MN 55122-2979
Phone number: 952-993-4069
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