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1699433326
JEREESHA SHAUNTA PEACOCK
KAYENTA, AZ
NPI
1699433326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: WY 36163)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
JEREESHA SHAUNTA PEACOCK
HWY 160 M.P. 394
KAYENTA, AZ 86033
Phone number: 928-697-4000
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Mailing Address
JEREESHA SHAUNTA PEACOCK
PO BOX 368
KAYENTA, AZ 86033-0368
Phone number: 928-697-4001
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