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Individual
COURTNEY MARY DAVIS
Active
Individual
COURTNEY MARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86019133
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235652660
—
CO
Enumeration date
07/18/2017
Last updated
03/19/2019
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