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1780909036
SANDRA M PEACOCK
SULPHUR, LA
NPI
1780909036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: LA ap02623)
Enumeration Date
2010-03-30
Last Update Date
2010-03-30
Business Address
-- SANDRA M PEACOCK aprn
423 CYPRESS ST
SULPHUR, LA 70663-4964
Phone number: 337-528-7992
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Mailing Address
-- SANDRA M PEACOCK aprn
423 CYPRESS ST
SULPHUR, LA 70663-4964
Phone number: 337-528-7992
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