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1356881932
JEFFERY PEACOCK
NEWARK, NY
NPI
1356881932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 63021126)
Enumeration Date
2017-03-02
Last Update Date
2023-08-30
Business Address
JEFFERY PEACOCK OTR/L
131 DRUMLIN CT
NEWARK, NY 14513-1863
Phone number: 315-332-7315
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Mailing Address
JEFFERY PEACOCK OTR/L
28 MAIN ST
BLOOMFIELD, NY 14469-9231
Phone number: 585-410-8968
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