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Individual
JESSICA LAUREN MCCOY
Active
Individual
JESSICA LAUREN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2174849
TX
208100000X
Physical Medicine & Rehabilitation Physician
A4639
MD
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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