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1922644285
HEIDI K MCCOY
URBANA, IL
NPI
1922644285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209020469)
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
HEIDI K MCCOY NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3311
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Mailing Address
HEIDI K MCCOY NP
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number: 217-902-5291
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