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1134546286
SAMANTHA SOPHIA PECKHAM
LAS VEGAS, NV
NPI
1134546286
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Former Name
SAMANTHA SOPHIA SIMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 001667)
Enumeration Date
2014-03-26
Last Update Date
2014-03-26
Business Address
Mrs. SAMANTHA SOPHIA PECKHAM AGACNP-BC
607 S DECATUR BLVD
LAS VEGAS, NV 89107-3912
Phone number: 702-822-7400
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Mailing Address
Mrs. SAMANTHA SOPHIA PECKHAM AGACNP-BC
2927 AQUALINE CT
LAS VEGAS, NV 89117-2576
Phone number: 702-738-1775
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