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Individual

SEAMUS MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1700 BROADWAY, SUITE 500, OAKLAND, CA 94612-2141
(510) 273-4200
Mailing address
1700 BROADWAY, SUITE 500, OAKLAND, CA 94612-2141

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
806399
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95000954
CA

Other

Enumeration date
06/25/2013
Last updated
05/11/2015
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