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1215314745
MISSIOURI D MCCOY
GRAND JUNCTION, CO
NPI
1215314745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0991762-NP)
Enumeration Date
2015-05-05
Last Update Date
2015-05-29
Business Address
-- MISSIOURI D MCCOY
2643 PATTERSON RD STE 403
GRAND JUNCTION, CO 81506-1936
Phone number: 970-298-7662
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Mailing Address
-- MISSIOURI D MCCOY
2635 N 7TH ST SMMG CVTS
GRAND JUNCTION, CO 81501-8209
Phone number: 970-298-7662
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