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1255450367
NICHOLA PEACOCK
FRESNO, CA
NPI
1255450367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- NICHOLA PEACOCK
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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Mailing Address
-- NICHOLA PEACOCK
2775 E MILLBRAE AVE
FRESNO, CA 93710-4822
Phone number: 559-313-1707
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