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Individual

SUSAN MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Mailing address
2430 LAKEWOOD RD, JEFFERSON CITY, MO 65109-9119

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
098488
MO

Other

Enumeration date
03/07/2015
Last updated
03/07/2015
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