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Individual
MARIAN HENRY COURTICE
Active
Individual
MARIAN HENRY COURTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
096007527N7 WHCNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2779
LICENSE
CA
Enumeration date
07/17/2008
Last updated
07/01/2011
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