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1033552013
VANNICE CHARLESETTA MCCOY
OKLAHOMA CITY, OK
NPI
1033552013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
-- VANNICE CHARLESETTA MCCOY
3621 N KELLEY AVE
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
-- VANNICE CHARLESETTA MCCOY
3621 N KELLEY AVE
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
Copy
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