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1104875418
ROBERTA MCCOY
SAN DIEGO, CA
NPI
1104875418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA CA 218293)
Enumeration Date
2006-05-06
Last Update Date
2007-07-13
Business Address
Ms. ROBERTA MCCOY NP
3350 LAJOLLA VILLAGE DR.
SAN DIEGO, CA 92161-0001
Phone number: 858-552-8585
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Mailing Address
Ms. ROBERTA MCCOY NP
3350 LAJOLLA VILLAGE DR
SAN DIEGO, CA 92161-0001
Phone number: 858-552-8585
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