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Contact Information

KOURTNEY T VAILLANCOURT, PhD
505 S MAIN ST
129 LORETTO TOWNE CENTRE
LAS CRUCES, NM88001-1206
 Phone: 575-525-5644
 Fax: 575-525-5637
 Website:
Indicates primary specialty

NPI Profile & details for KOURTNEY T VAILLANCOURT · (Female)

NPI # 1003009432
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/20/2007
Last updated 04/08/2009 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 0102221
  • NM License # 0109031
  • NM License # 0109041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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