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1356407514
PEGGY J. MANCUSO
DALLAS, TX
NPI
1356407514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: TX 445642)
Enumeration Date
2006-12-29
Last Update Date
2009-07-20
Business Address
-- PEGGY J. MANCUSO CNM
5201 HARRY HINES BLVD WISH TUBAL CLINIC
DALLAS, TX 75235-7708
Phone number: 214-590-5306
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Mailing Address
-- PEGGY J. MANCUSO CNM
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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