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Individual
PATTI MCCOOL
Active
Individual
PATTI MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5430
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600054
MEDICA
MN
01
—
9G936MC
BCBS
MN
01
—
HP43904
HP
MN
Enumeration date
03/26/2007
Last updated
07/08/2007
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