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1710952361
LISA ANN MCCOY
COLUMBIA, MO
NPI
1710952361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
174400000X Specialist
(Licence: MO 01577)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
LISA ANN MCCOY P.T.
315 BUSINESS LOOP 70 W
COLUMBIA, MO 65203-3248
Phone number: 573-817-4760
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Mailing Address
LISA ANN MCCOY P.T.
309 DEVINE CT
COLUMBIA, MO 65203-0217
Phone number: 573-446-0138
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