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Individual

JORDYN PEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
10 MISSILE AVE, MINOT, ND 58705-5003
(701) 723-5633
Mailing address
10 MISSILE AVE, MINOT, ND 58705-5003

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/20/2023
Last updated
09/24/2024
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