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Individual

SANDRA M PEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
423 CYPRESS ST, SULPHUR, LA 70663-4964
(337) 528-7992
(337) 528-7994
Mailing address
423 CYPRESS ST, SULPHUR, LA 70663-4964
(337) 528-7992
(337) 528-7994

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP02623
LA

Other

Enumeration date
03/30/2010
Last updated
03/30/2010
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