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Individual
MICHEAL COURTNEY
Active
Individual
MICHEAL COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
03/11/2022
Last updated
03/11/2022
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