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1487213906
KATRYNA PEACOCK
LANSING, MI
NPI
1487213906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5151013629)
Enumeration Date
2019-06-08
Last Update Date
2019-06-08
Business Address
KATRYNA PEACOCK DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-5710
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Mailing Address
KATRYNA PEACOCK DO
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-5710
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