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1790149706
RANDI PEACOCK
FORT SMITH, AR
NPI
1790149706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R090298)
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
-- RANDI PEACOCK
5400 EUPER LN
FORT SMITH, AR 72903-3232
Phone number: 479-755-6601
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Mailing Address
-- RANDI PEACOCK
5400 EUPER LN
FORT SMITH, AR 72903-3232
Phone number: 479-755-6601
Copy
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