Individual
JULIAN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13211 THORNHURST AVE, GARFIELD HEIGHTS, OH 44105-6844
(216) 469-9896
Mailing address
13211 THORNHURST AVE, GARFIELD HEIGHTS, OH 44105-6844
(216) 469-9896
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RN991655
OH
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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