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Individual

COURTNEY GREENUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(909) 992-8346
Mailing address
12581 FOSTER RD, LOS ALAMITOS, CA 90720-4736
(909) 992-8346

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012251
CA

Other

Enumeration date
07/17/2019
Last updated
11/17/2022
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