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Individual

DEBORAH ANNE ADAMS-COURTLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
121 S WASHINGTON AVE, PRESCOTT, AZ 86303-4438
(928) 848-6322
Mailing address
121 S WASHINGTON AVE, PRESCOTT, AZ 86303-4438
(928) 848-6322

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3193234
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3193234
OFFICE OF LICENSING, CERTIFICATION AND REGISTRATION
AZ
Enumeration date
04/29/2013
Last updated
04/29/2013
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