Individual
REBEKAH MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
197 S 47TH ST, SPRINGFIELD, OR 97478-6624
(541) 543-5142
Mailing address
197 S 47TH ST, SPRINGFIELD, OR 97478-6624
(541) 543-5142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130246LPN
OR
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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