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Individual
MRS. LAURA MARIA MCKOY
Active
Individual
MRS. LAURA MARIA MCKOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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