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NPI Code Detail

MEDICARE: SHARON GAY PEELOR

MEDICARE: SHARON GAY PEELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1639210909
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON GAY PEELOR
Provider Business Mailing Address
First Line : 1430 NEOTOMAS AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7575
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1430 NEOTOMAS AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7575
Country : US
Telephone Number : 707-565-7478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 08/18/2014

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Directions to “ SHARON GAY PEELOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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