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1104965060
KELLY C MCCOY
SAN MATEO, CA
NPI
1104965060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-02-06
Last Update Date
2023-06-30
Business Address
KELLY C MCCOY
2000 ALAMEDA DE LAS PULGAS STE 200
SAN MATEO, CA 94403-1293
Phone number: 650-573-2618
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Mailing Address
KELLY C MCCOY
1132 GODETIA DR APT 1
WOODSIDE, CA 94062-4117
Phone number: 650-743-0116
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