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1952475287
LISA MARIE PEACOCK
TRAVERSE CITY, MI
NPI
1952475287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MI 4704184255)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Mrs. LISA MARIE PEACOCK R.N.C., W.H.N.P.
2325 GARFIELD RD N
TRAVERSE CITY, MI 49686-5127
Phone number: 231-922-6416
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Mailing Address
Mrs. LISA MARIE PEACOCK R.N.C., W.H.N.P.
5426 BREEZEHILL DR
TRAVERSE CITY, MI 49684-6908
Phone number: 231-947-4956
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