Individual
CASSANDRA EVON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 S YALE AVE STE 301, TULSA, OK 74136-7815
(918) 494-9300
(918) 494-9355
Mailing address
1108 W PEARL ST, COLLINSVILLE, OK 74021-2055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1146
OK
Other
Enumeration date
06/14/2017
Last updated
02/20/2020
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