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1144573874
JALISSA ALEXANDRIA MCCOY
CLAREMORE, OK
NPI
1144573874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK R 0107116)
Enumeration Date
2012-10-18
Last Update Date
2015-09-12
Business Address
-- JALISSA ALEXANDRIA MCCOY RN
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6200
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Mailing Address
-- JALISSA ALEXANDRIA MCCOY RN
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6200
Copy
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