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Individual
COURTNEY STEVENS- GARRISON
Active
Individual
COURTNEY STEVENS- GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PED
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
Primary
CPED3196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704221
—
NC
Enumeration date
08/23/2010
Last updated
08/23/2010
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