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Individual

MRS. DAYNA LYNN PEACOCK

Active
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Individual

MRS. DAYNA LYNN PEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RCP,RRT

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
2490
OK
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
2490
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2490
OKLAHOMA STATE MEDICAL LICENSE
OK
Enumeration date
10/08/2008
Last updated
10/08/2008
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