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1578333639
PEACOCK PRIMARY CARE, LLC
SHREVEPORT, LA
NPI
1578333639
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Entity Type
Organization
Authorized Contact
BRANDY PEACOCK
Owner
318-510-3943
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
PEACOCK PRIMARY CARE, LLC
426 GOLDSBERRY CIR
SHREVEPORT, LA 71106-8346
Phone number: 318-510-3943
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Mailing Address
PEACOCK PRIMARY CARE, LLC
426 GOLDSBERRY CIR
SHREVEPORT, LA 71106-8346
Phone number: 318-510-3943
Copy
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