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Individual
MRS. PEATRIC SAMBOL-GORDON
Active
Individual
MRS. PEATRIC SAMBOL-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,MBA,ACHA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122895
MO
163W00000X
Registered Nurse
Primary
1359686111
KS
163WA2000X
Administrator Registered Nurse
3450
KS
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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