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1750040986
SHANDA B PEACOCK
SACRAMENTO, CA
NPI
1750040986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
SHANDA B PEACOCK
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841-3105
Phone number: 916-609-5100
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Mailing Address
SHANDA B PEACOCK
5445 LAUREL HILLS DR
SACRAMENTO, CA 95841-3105
Phone number: 916-609-5100
Copy
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