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1922426030
MARK WILLIAM MCCOY
SANTA ANA, CA
NPI
1922426030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA M1304140559)
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
Mr. MARK WILLIAM MCCOY RAS
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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Mailing Address
Mr. MARK WILLIAM MCCOY RAS
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Copy
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