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1417730938
NICOLE MCCOY
CHAMPAIGN, IL
NPI
1417730938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209028120)
Enumeration Date
2023-08-17
Last Update Date
2024-06-05
Business Address
Ms. NICOLE MCCOY
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-1255
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Mailing Address
Ms. NICOLE MCCOY
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1255
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