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Individual

AJAMU BILL MCCOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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