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1972819167
JOHN MICHAEL PEACOCK
LONG BEACH, CA
NPI
1972819167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
JOHN MICHAEL PEACOCK
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
JOHN MICHAEL PEACOCK
1748 E 1ST ST UNIT 303
LONG BEACH, CA 90802-5992
Phone number: 951-235-1302
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