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Individual
PEARY WOOD
Active
Individual
PEARY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523037
—
OR
05
—
523038
—
OR
05
—
524973
—
OR
Enumeration date
10/15/2018
Last updated
10/15/2018
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