Vannice Charlesetta Mccoy

NPI 1033552013 - Clinic/Center - 261QM0801X

NPI Details
NPI 1033552013
Gender Female
Enumeration Date 04/09/2013
Last Updated 04/09/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3621 N KELLEY AVE
OKLAHOMA CITY OK, 73111-4520, US
Phone (405) 524-5525
Fax (405) 524-5528
Business Location
3621 N KELLEY AVE
OKLAHOMA CITY OK, 73111-4520, US
Phone (405) 524-5525
Fax (405) 524-5528
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Vannice Charlesetta Mccoy NPI is 1033552013, taxonomy code is 261QM0801X Vannice Charlesetta Mccoy physically located at 3621 N Kelley Ave, Oklahoma City OK, 73111-4520. NPI Number Vannice Charlesetta Mccoy has the Individual type.

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1033552013 NPI number is provided on an as is basis without warranty of any kind. 1033552013 is maintained by the National Plan & Provider Enumeration System. The contents of Vannice Charlesetta Mccoy are for informational purposes only.