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1962051797
COURTNIE LYN CROCKETT
PEORIA, AZ
NPI
1962051797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7578)
Enumeration Date
2019-09-04
Last Update Date
2021-09-14
Business Address
COURTNIE LYN CROCKETT PA-C
6780 W THUNDERBIRD RD STE A101
PEORIA, AZ 85381-5049
Phone number: 028-431-9916
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Mailing Address
COURTNIE LYN CROCKETT PA-C
10801 N 32ND ST APT 224
PHOENIX, AZ 85028-3242
Phone number:
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