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Individual

MARCIA KAY MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
365 MCCOY RD, PEEBLES, OH 45660-9569
(937) 587-3035
Mailing address
365 MCCOY RD, PEEBLES, OH 45660-9569
(937) 587-3035

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2585224
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2585224
OH
Enumeration date
10/16/2020
Last updated
10/16/2020
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