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Individual
MR. DERRICK MAURICE MCCOY
Active
Individual
MR. DERRICK MAURICE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02426
MD
225700000X
Massage Therapist
M04077
MD
Other
Enumeration date
10/22/2018
Last updated
08/02/2021
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