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Individual
COURTNEY SILL COURTEMANCHE
Active
Individual
COURTNEY SILL COURTEMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070002085
BOARD OF CERTIFICATION, INC.
—
Enumeration date
08/30/2005
Last updated
05/27/2019
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