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1003343609
DANIEL ERIC MCCOY
MODESTO, CA
NPI
1003343609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-05-15
Last Update Date
2024-10-21
Business Address
DANIEL ERIC MCCOY
1021 I ST
MODESTO, CA 95354-2331
Phone number: 209-552-2890
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Mailing Address
DANIEL ERIC MCCOY
413 SAN ANDREAS CT
MODESTO, CA 95354-3385
Phone number: 209-480-7911
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