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1881376127
ELLEN PEACOCK
CLOVIS, NM
NPI
1881376127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 74907)
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
ELLEN PEACOCK FNP
912 W 21ST ST
CLOVIS, NM 88101-4149
Phone number: 575-935-9000
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Mailing Address
ELLEN PEACOCK FNP
912 W 21ST ST
CLOVIS, NM 88101-4149
Phone number: 575-935-9000
Copy
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