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1417524539
STEPHANIE PEACOCK
LA MESA, CA
NPI
1417524539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 108449)
Enumeration Date
2021-06-08
Last Update Date
2023-08-25
Business Address
STEPHANIE PEACOCK
8530 LA MESA BLVD UNIT 204
LA MESA, CA 91942
Phone number: 619-494-2492
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Mailing Address
STEPHANIE PEACOCK
325 W WASHINGTON SUITE 2 #3072
SAN DIEGO, CA 92103-1946
Phone number: 424-282-9707
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