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Individual

COURTNEY MARIE CONSTANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1211 23RD ST, MANISTEE, MI 49660-2314
(734) 306-4151
Mailing address
1211 23RD ST, MANISTEE, MI 49660-2314
(734) 306-4151

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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