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Individual
AMANDA JO MCCOY
Active
Individual
AMANDA JO MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.348339
IL
163W00000X
Registered Nurse
28166090A
IN
163WG0000X
General Practice Registered Nurse
041.348339
IL
Other
Enumeration date
11/16/2011
Last updated
08/02/2022
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